Individual
MRS. ALISCA BROOKE MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1312 GRANADA WAY, DALTON, GA 30720-5124
(706) 271-7113
Mailing address
1312 GRANADA WAY, DALTON, GA 30720-5124
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001854
GA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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