Most Relevant Information
Provider Data
| NPI Number: | 1003234600 |
| Provider Name: | RENATA MCCANN P.T.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA003134 |
Most Important Dates
| Enumeration Date: | 04/01/2014 |
| Last Updated: | 04/01/2014 |
Provider Practice Location
340 PINE FOREST DR
ATHENS
GA
306062438
Practice Location Phone/Fax
| Phone: | 4048953377 |
| Fax: |
Provider Mailing Location
340 PINE FOREST DR
ATHENS
GA
306062438
Provider Mailing Phone/Fax
| Phone: | 4048953377 |
| Fax: |