Whalio Doctors

NPI 1073906541

Sarah Dianne Decker-Zito, PTA

Practitioner Physical Therapy Assistant Locust Grove, GA

Practice location

Address
4959 Bill Gardner Pkwy STE 109, Locust Grove, GA 30248-2915
Phone
(770) 914-9285
Fax
(770) 914-5668
Mailing address
8823 Production Ln, Ooltewah, TN 37363-6511

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA003430 (GA)

Registry record

NPI
1073906541
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Mar 2015
Record last updated
9 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.