MRS. Carol Ann Collica, P.T.

NPI #1194898825 in Grovetown, Georgia

Provider Information

NPI Number: 1194898825
Entity Type: Individual
Name: MRS. Carol Ann Collica, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Nov 17, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 444 PARK WEST DRIVE
City: Grovetown
State: Georgia
ZIP Code: 30813
Phone: (706) 868-6543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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