Individual
ALICIA PERDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3688 IDLECREEK DR, DECATUR, GA 30034-4938
(216) 201-1163
Mailing address
3688 IDLECREEK DR, DECATUR, GA 30034-4938
(216) 201-1163
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008864
GA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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