Individual
ALEXANDRA HALLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1387 HWY 41 N, CALHOUN, GA 30701
(706) 629-1289
Mailing address
10 TALLULAH CT, JONESBORO, GA 30236-5488
(678) 644-1642
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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