Individual
BARBARA AIMEE CLAVECILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 977-6866
(770) 977-6887
Mailing address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 977-6866
(770) 977-6887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008507
GA
Other
Enumeration date
09/04/2007
Last updated
09/05/2007
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