MRS. Nyasunu Wi Hepburn, PTA

NPI #1841608163 in Blue Ridge, Georgia

Provider Information

NPI Number: 1841608163
Entity Type: Individual
Name: MRS. Nyasunu Wi Hepburn, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 30, 2014
Last Updated: Feb 25, 2022

Practice Location

Address: 1600 BALLEWTOWN RD
City: Blue Ridge
State: Georgia
ZIP Code: 30513-5337
Phone: (706) 309-7005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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