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VIRGINIA BALDWIN KOHL

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

Registrant NPI Number: 1902231459

Individual Registrant:
 VIRGINIA BALDWIN KOHL 
Gender: F
Sole Proprietor

Location and contact information for practice:
106 PEARL DR SUITE 104 LA FAYETTE, GA 30728-7509 US
Tel: 706-638-3880  Fax: --

Contact information for business:
106 PEARL DR SUITE 104 LA FAYETTE, GA 30728-7509 US
Tel: 706-638-3880  Fax: --

Registration Information:
NPI: 1902231459
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
GAPTA003146

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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