Carlos Manuel Santiago, PTA

NPI #1639456445 in Kingsland, Georgia

Provider Information

NPI Number: 1639456445
Entity Type: Individual
Name: Carlos Manuel Santiago, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 8, 2011
Last Updated: Nov 8, 2011

Practice Location

Address: 100 LINDSEY LN # A
City: Kingsland
State: Georgia
ZIP Code: 31548-6850
Phone: (912) 729-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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