Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT011206 | GA |
NPI | 1023431376 |
---|---|
Provider Name | Ms. Amber Joy Golay |
First Address | Clinton Twp, MI 48035-4258 |
Second Address | Atlanta, GA 30327-4111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2014 |
Last Update Date | 29/03/2018 |