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Individual

ASWINI NAGARAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
253 N MAIN ST, ALPHARETTA, GA 30009-3624
(404) 910-2083
Mailing address
10304 MASTERS WAY, ALPHARETTA, GA 30005-8844
(404) 910-2083

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501015228
MI
2251G0304X
Geriatric Physical Therapist
Primary
11632
GA

Other

Enumeration date
09/19/2014
Last updated
09/19/2014
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