Individual
DIANNE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT, CHT
Contact information
Practice address
4555 N SHALLOWFORD RD STE 112, DUNWOODY, GA 30338-6403
(404) 778-6031
(404) 778-6034
Mailing address
PO BOX 518, JONESBORO, GA 30237-0518
(770) 631-8277
(770) 631-9403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006934
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006934
STATE LISC NUMBER
GA
Enumeration date
11/07/2006
Last updated
06/20/2019
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