Individual
MRS. DANNIELLE ROSE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
301 MARGIE DR, WARNER ROBINS, GA 31088-7818
(478) 953-5800
(478) 953-5800
Mailing address
301 MARGIE DR, WARNER ROBINS, GA 31088-7818
(478) 953-5800
(478) 953-5800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001447
GA
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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