Individual
ALYSE MAHFOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 WALTON WAY, ROSWELL, GA 30076-3418
(770) 649-7452
Mailing address
7860 TRAILSIDE WAY, GAINESVILLE, GA 30506-7045
(770) 362-8570
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004905
GA
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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