Individual
MAUSAMI DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4245 JOHNS CREEK PKWY STE E, SUWANEE, GA 30024-9122
(862) 579-0738
Mailing address
4245 JOHNS CREEK PKWY STE E, SUWANEE, GA 30024-9122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012149
GA
Other
Enumeration date
05/11/2010
Last updated
08/15/2022
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