Individual
MRS. SARAH FUNK HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4754 MARTIN RD, SUITE 200, FLOWERY BRANCH, GA 30542-3507
(770) 967-4377
(770) 967-8077
Mailing address
PO BOX 837, FLOWERY BRANCH, GA 30542-0014
(770) 967-4377
(770) 967-8077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003297
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203703273
TAX ID
GA
Enumeration date
07/16/2014
Last updated
07/16/2014
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