Mutters, Clare
Mutters, Clare is an individual health care provider with primary practice located at 3615 Braselton Hwy Ste 101 , Dacula GA 30019-5907. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mutters, Clare can be contacted via phone (770) 904-0772.Contact Information
Primary practice address
3615 Braselton Hwy Ste 101
Dacula GA 30019-5907
Phone: (770) 904-0772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PTA002014 | Georgia |
Profile Details
| NPI number | 1740340892 |
|---|---|
| LBN Legal business name | Mutters, Clare |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740340892 | NPPES |
| Georgia | Other | PTA002014 | PTA LISC # |
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