Whalio Doctors

NPI 1194898825

Carol Ann Collica, PT

Practitioner Physical Therapist Grovetown, GA

Practice location

Address
444 Park West Drive, Grovetown, GA 30813
Phone
(706) 868-6543
Fax
(706) 868-9579
Mailing address
483 Old Walnut Br, North Augusta, SC 29860-8662

Registered specialties (2)

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT004494 (GA)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2753 (SC)

Registry record

NPI
1194898825
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Nov 2006
Record last updated
9 Jul 2007

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.