Individual
ZACHARY LEO POULIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3286 BUCKEYE RD UNIT 150, ATLANTA, GA 30341-4228
(404) 267-5566
Mailing address
6649 HIGHWAY 155 N, STOCKBRIDGE, GA 30281-1254
(229) 815-6755
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004225
GA
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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