Individual
MS. KELLEY PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5240 SNAPFINGER PARK DR STE 130, DECATUR, GA 30035-4054
(770) 322-7003
(770) 322-7630
Mailing address
806 KENNETH LN, NORCROSS, GA 30093-5133
(470) 248-8688
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000743
GA
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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