Individual
DR. KATIE BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3615 BRASELTON HWY, SUITE 104, DACULA, GA 30019-5906
(770) 904-6009
(770) 904-2357
Mailing address
774 INMAN MEWS DR NE, ATLANTA, GA 30307-2499
(678) 478-9858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008836
GA
Other
Enumeration date
12/20/2006
Last updated
07/09/2007
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