Individual
MRS. CORAL ELIZABETH QUINN PERNICIARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
3635 BRASELTON HWY, SUITE C, DACULA, GA 30019-1068
(770) 932-4332
(470) 238-3050
Mailing address
3635 BRASELTON HWY, SUITE C, DACULA, GA 30019-1068
(770) 932-4332
(470) 238-3050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011125
GA
Other
Enumeration date
11/01/2013
Last updated
05/22/2014
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