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CLAUDIA ANNE VICKERS PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1811018583

Individual Registrant:
 CLAUDIA ANNE VICKERS PT
Gender: F
Sole Proprietor

Location and contact information for practice:
2540 CONWAY VICKERS RD  AMBROSE, GA 31512-3731 US
Tel: 912-381-0738  Fax: 912-384-1053

Contact information for business:
2540 CONWAY VICKERS RD  AMBROSE, GA 31512-3731 US
Tel: 912-381-0738  Fax: 912-384-1053

Registration Information:
NPI: 1811018583
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
GAPT001513

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00331482BGA05




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