Most Relevant Information
Provider Data
| NPI Number: | 1003405911 |
| Provider Name: | KYRE LOCHAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA004586 |
Most Important Dates
| Enumeration Date: | 01/14/2021 |
| Last Updated: | 01/15/2021 |
Provider Practice Location
1240 GEORGIA 54
SUITE 404
FAYETTEVILLE
GA
30214
Practice Location Phone/Fax
| Phone: | 4706150485 |
| Fax: |
Provider Mailing Location
2057 SWAN CT
RIVERDALE
GA
302962853
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |