Individual
KELLY HASKELL PECZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LANIER AVE W STE 702, FAYETTEVILLE, GA 30214-7643
(413) 250-7848
Mailing address
376 DINGLER RD, MORELAND, GA 30259-2229
(413) 250-7848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009203
GA
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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