Individual
REGINA CAHOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
145 EVERGREEN TER, WINTERVILLE, GA 30683-3213
(706) 202-4465
Mailing address
145 EVERGREEN TER, WINTERVILLE, GA 30683-3213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003635
GA
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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