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ALAINA RICHARDSON PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1124613468

Individual Registrant:
 ALAINA  RICHARDSON PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
101 STILLWATER CIR  BONAIRE, GA 31005-3857 US
Tel: 478-293-1680  Fax: 478-293-1685

Contact information for business:
101 STILLWATER CIR  BONAIRE, GA 31005-3857 US
Tel: --  Fax: --

Registration Information:
NPI: 1124613468
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
GAPTA004622

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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