Individual
MRS. DOREEN BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2000 E WEST CONNECTOR, AUSTELL, GA 30106-1194
(770) 819-7000
Mailing address
1638 TWIN COURTS LN SW, MARIETTA, GA 30008-5700
(770) 310-1379
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000972
GA
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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