Individual
ANASTASIA THEODORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 PEACHTREE DUNWOODY RD NE, BUILDING 400, SUITE 125, ATLANTA, GA 30328-6773
(678) 587-9922
(866) 587-9993
Mailing address
425 RIDGEWOOD WAY, ALPHARETTA, GA 30005-4149
(770) 377-9704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002204
GA
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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