Individual
DANA GAIL KESSLER
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
3122 KEENLY IVES CT, BUFORD, GA 30519-7580
(678) 714-8286
(770) 932-2167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007873
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10037602
AMERIGROUP #
GA
01
—
308174
WELLCARE #
GA
05
—
576079414B
—
GA
Enumeration date
12/26/2006
Last updated
09/24/2010
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