Individual
ALLISON C. KLOEHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 MILLBROOK VILLAGE DR, SUITE C, TYRONE, GA 30290-3603
(678) 364-9412
(678) 364-9413
Mailing address
100 MILLBROOK VILLAGE DR, SUITE C, TYRONE, GA 30290-3603
(678) 364-9412
(678) 364-9413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
GA005883
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA005883
STATE LISC NUMBER
GA
Enumeration date
11/03/2006
Last updated
06/22/2010
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