Individual
LACEY AMANDA DUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
815 ATLANTA HWY, CUMMING, GA 30040-2707
(770) 888-4929
Mailing address
3115 WILLOW WISP WAY, CUMMING, GA 30040-7185
(937) 567-2834
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003732
GA
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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