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Stephen Gaulden, PTA

Physical Therapy Assistant in Atlanta, GA. Individual provider (NPI-1).

NPI number1699323147
StatusActive
Last updated in NPPESAug 28, 2019

Details

NPI
1699323147
Entity type
Individual (NPI-1)
Name
Stephen Gaulden
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 28, 2019
Last updated
Aug 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant–GAYes

Practice location

5470 Meridian Marks Rd
Atlanta, GA 30342-1624

Phone 404-257-1820

Mailing address

5470 Meridian Marks Rd
Atlanta, GA 30342-1624

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