Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT010693 | GA |
NPI | 1003161266 |
---|---|
Provider Name | Erin G Kent |
First Address | Clinton Twp, MI 48035-4258 |
Second Address | Atlanta, GA 30337-3526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2012 |
Last Update Date | 10/03/2021 |