Organization
EQUESTRIAN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA J KIRCHNER PTA (OWNER/PTA)
(770) 396-7222
Entity
Organization
Contact information
Practice address
802 TREELODGE PKWY, ATLANTA, GA 30350-6007
(770) 396-7222
(770) 396-7722
Mailing address
802 TREELODGE PKWY, ATLANTA, GA 30350-6007
(770) 396-7222
(770) 396-7722
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A000867
GA
Other
Enumeration date
12/12/2009
Last updated
12/12/2009
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