Individual
ALISA MOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3827 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2804
(770) 943-1142
Mailing address
365 NORTHRIDGE DR, DALLAS, GA 30132-0558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT010552
GA
2251G0304X
Geriatric Physical Therapist
Primary
PT010552
GA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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