Individual
ANNA L RACELIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 834-7436
(770) 830-5961
Mailing address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 834-7436
(770) 830-5961
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008011
GA
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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