Individual
LILLY KHOKHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4310 JOHNS CREEK PKWY, SUWANEE, GA 30024-6091
(770) 495-0610
Mailing address
1790 ALDER TREE WAY, DACULA, GA 30019-7929
(404) 563-3334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017523
GA
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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