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Individual

SUE SOHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3672 CARMEL RD, CHAMBLEE, GA 30341-2031
(678) 591-2078
Mailing address
3672 CARMEL RD, CHAMBLEE, GA 30341-2031

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT006588
GA

Other

Enumeration date
03/14/2006
Last updated
07/08/2007
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