MISS Sophia Antonia Blue, LPTA

NPI #1124502679 in Austell, Georgia

Provider Information

NPI Number
1124502679
Entity Type
Individual
Name
MISS Sophia Antonia Blue, LPTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
LPTA
Enumeration Date
Sep 20, 2018
Last Updated
Sep 20, 2018

Practice Location

Address
2130 ANDERSON MILL RD
State
Georgia
ZIP Code
30106-1806
Phone
(770) 941-8813

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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