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Individual

KATHRYN B FIDATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, LMT

Contact information

Practice address
12180 WEXFORD CLUB DR, ROSWELL, GA 30075-1477
(404) 904-3800
Mailing address
12180 WEXFORD CLUB DR, ROSWELL, GA 30075-1477
(404) 904-3800

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16862
MD
225100000X
Physical Therapist
Primary
PT010510
GA

Other

Enumeration date
05/08/2008
Last updated
07/07/2016
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