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Individual

EKATERINA DANIELIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
75 MAGNOLIA ST, ROSWELL, GA 30075-4381
(470) 740-7419
(770) 882-2837
Mailing address
370 SWINGLINE LN, ALPHARETTA, GA 30004-3135
(818) 400-0940

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004546
GA

Other

Enumeration date
11/23/2020
Last updated
11/23/2020
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