Individual
ALISA MALTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2285 PRISCILLA DR, MARIETTA, GA 30066-4629
(678) 234-5267
(678) 234-5267
Mailing address
2285 PRISCILLA DR, MARIETTA, GA 30066-4629
(678) 234-5267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012452
GA
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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