Individual
ALEXIS COSTLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1197 JOHNSON FERRY RD, MARIETTA, GA 30068-2718
(770) 321-0155
Mailing address
3227 FLOWERS RD S APT J, ATLANTA, GA 30341-5681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016662
GA
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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