Shane Michael Anthony, PTA

NPI #1144501305 in Austell, Georgia

Provider Information

NPI Number
1144501305
Entity Type
Individual
Name
Shane Michael Anthony, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 1, 2011
Last Updated
Sep 9, 2011

Practice Location

Address
1025 E WEST CONNECTOR
Address 2
STE. 406
State
Georgia
ZIP Code
30106-8513
Phone
(770) 384-1001

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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