Individual
MADISON ALLENSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1755 HIGHWAY 34 E, NEWNAN, GA 30265-5631
(770) 502-2175
Mailing address
126 POLLEN TRL, GRANTVILLE, GA 30220-2163
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016001
GA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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