Individual
CARLA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 PATES CREEK RD, STOCKBRIDGE, GA 30281-4936
(240) 305-2352
Mailing address
1118 PATES CREEK ROAD, STOCKBRIDGE, GA 30281-4936
(240) 305-2352
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011362
GA
Other
Enumeration date
03/03/2014
Last updated
08/27/2016
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