Individual
DARYLL DUBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3985 STEVE REYNOLDS BLVD, BLD G, NORCROSS, GA 30093-3035
(770) 622-2532
(770) 622-2534
Mailing address
3985 STEVE REYNOLDS BLVD BLDG G, NORCROSS, GA 30093-3001
(770) 622-2532
(770) 622-2534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007707
GA
Other
Enumeration date
11/08/2006
Last updated
03/23/2012
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