Individual
MRS. AMIE ALAGOOD LOCICERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
545 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046-3389
(678) 377-2833
(678) 377-2882
Mailing address
4727 ARDMORE LN, HOSCHTON, GA 30548-6228
(770) 307-5909
(678) 377-2882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004192
GA
Other
Enumeration date
11/16/2006
Last updated
09/23/2010
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