Individual
DR. NUTTA-ON BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, PHD
Contact information
Practice address
6475 JIMMY CARTER BLVD STE 200, NORCROSS, GA 30071-1734
(770) 242-7744
(770) 368-0164
Mailing address
315 ROLLING MIST CT, ALPHARETTA, GA 30022-4405
(414) 324-1176
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT013222
GA
2251N0400X
Neurology Physical Therapist
PTL.0014385
CO
2251P0200X
Pediatric Physical Therapist
PT013222
GA
2251P0200X
Pediatric Physical Therapist
PTL.0014385
CO
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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