Individual
ANEL DURMISEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 RIDENOUR BLVD NW STE 204, KENNESAW, GA 30152-4464
(770) 580-8070
Mailing address
PO BOX 441146, KENNESAW, GA 30160-9522
(678) 403-3568
(678) 567-6737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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