Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 42911 | CA |
NPI | 1003283706 |
---|---|
Provider Name | Dr. Kara Christine Curtis |
First Address | Augusta, GA 30916-5545 |
Second Address | Grovetown, GA 30813-3195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2015 |
Last Update Date | 19/05/2016 |