Individual
KATE HAUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5875 PEACHTREE INDUSTRIAL BLVD STE 130, NORCROSS, GA 30092-3600
(770) 447-8135
Mailing address
4097 VOLLEY LN, NORCROSS, GA 30092-1962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8779
LICENSE#
GA
Enumeration date
06/05/2007
Last updated
08/21/2007
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