Individual
ALBERT JACOB WISENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1111 LOWER FAYETTEVILLE RD, STE 2000, NEWNAN, GA 30265-6501
(770) 251-7284
(770) 251-7295
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
GA
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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