Individual
MARISSA SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2463 HAMILTON MILL PKWY STE 250, DACULA, GA 30019-4647
(770) 932-9521
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013605
GA
225100000X
Physical Therapist
PTH10662
AL
Other
Enumeration date
08/29/2018
Last updated
03/27/2024
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