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DEBORAH CALHOUN PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1730527565
Individual Registrant: DEBORAH CALHOUN PTA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
114 VICTORY DR SWAINSBORO, GA 30401-3235 US
Tel: 478-237-4017 Fax: 478-237-3074
Tel: 478-237-4017 Fax: 478-237-3074
Contact information for business:
101 FAIRVIEW PARK DR DUBLIN, GA 31021-2501 US
Tel: 478-272-7494 Fax: 478-272-2616
Tel: 478-272-7494 Fax: 478-272-2616
Registration Information:
NPI: 1730527565
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | GA | PTA000716 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
