Individual
KIM PRITCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 PRINCE AVE, 4TH FLOOR, ATHENS, GA 30606-2797
(706) 475-3669
Mailing address
1060 JULIAN XING, WATKINSVILLE, GA 30677-4576
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000384
GA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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