Individual
HEATHER PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5513 CHAMBLEE DUNWOODY RD, SUITE 430, DUNWOODY, GA 30338-4106
(770) 551-9633
(770) 698-9184
Mailing address
5513 CHAMBLEE DUNWOODY RD, SUITE 430, DUNWOODY, GA 30338-4106
(770) 551-9633
(770) 698-9184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002063
GA
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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