Individual
ALYSSA DANIELE ANTONICELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 BARRETT DOWNS DR, CUMMING, GA 30040-9657
(859) 338-2772
Mailing address
2030 BARRETT DOWNS DR, CUMMING, GA 30040-9657
(859) 338-2772
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
013299
GA
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
01/08/2025
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