Individual
MRS. MARIE SHERWINE ALTIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6849 PEACHTREE DUNWOODY RD NE, BLDG B-1 SUITE 102, ATLANTA, GA 30328-1610
(866) 587-9922
(678) 587-9993
Mailing address
237 HICKORY BRANCH DR, ACWORTH, GA 30101-8773
(678) 574-9071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002226
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA002226
PHYSICAL THERAPIST ASSIST
GA
Enumeration date
05/14/2007
Last updated
07/08/2007
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