Individual
MS. DANIELLE ALEXANDRA LULLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2351 CEDARCREST RD, ACWORTH, GA 30101-8597
(770) 874-1254
Mailing address
31 CARRIAGE LN NW, CARTERSVILLE, GA 30120-4405
(404) 452-7375
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004566
GA
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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