Individual
VALERIE BRANNON ALUISY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4255 WADE GREEN RD NW, KENNESAW, GA 30144-1762
(770) 843-9788
Mailing address
3650 BLAKEFORD WAY, MARIETTA, GA 30062-5392
(770) 843-9788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT004420
GA
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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