Individual
AL WYNNE QUERUBIN GESITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
670 NORTH AVE NW, SUITE C, MARIETTA, GA 30060-1100
(404) 771-0554
(770) 442-3490
Mailing address
8020 WOODLAND LN, ALPHARETTA, GA 30004-8725
(404) 771-0554
(770) 442-3490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5853
GA
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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