Individual
ANDREA LYNN BEITLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2021 SCOTT RD, AUGUSTA, GA 30906-2539
(706) 793-1057
Mailing address
535 GLEASON AVE, POOLER, GA 31322-1829
(708) 372-9556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003607
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA003607
GA BOARD PHYSICAL THERAPY
GA
Enumeration date
03/23/2019
Last updated
03/23/2019
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