Individual
LUANNE MARIA MACISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7130 MOUNT ZION BLVD STE 9, JONESBORO, GA 30236-2566
(770) 603-5660
(770) 603-6779
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013826
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT5430
LICENSE#
FL
Enumeration date
08/30/2006
Last updated
10/21/2019
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