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Individual

MARGARET JANE MACIUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2515 FENCE RD STE 160, DACULA, GA 30019-2138
(770) 237-2852
(770) 237-2854
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7568
(423) 362-8684

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP017600T
MS
225100000X
Physical Therapist
Primary
PT013557
GA
225100000X
Physical Therapist
PTH10421
AL

Other

Enumeration date
08/15/2018
Last updated
09/27/2024
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