Individual
TEVIS JANEE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-2387
Mailing address
6244 TRICKLE BND, ATLANTA, GA 30349-2977
(312) 513-9718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA005112
GA
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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