Individual
ALI PATULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4743 ATLANTA HWY, SUITE 100, LOGANVILLE, GA 30052-2666
(770) 466-9343
(770) 466-9345
Mailing address
2400 WISTERIA DR, SUITE A, SNELLVILLE, GA 30078-2689
(770) 982-0102
(770) 982-0130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012121
GA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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