Individual
AMANDEEP KAUR DEOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
120 STONEBRIDGE PKWY, SUITE 100, WOODSTOCK, GA 30189-3767
(770) 926-6520
(770) 926-1359
Mailing address
4277 MOCCASIN TRL, WOODSTOCK, GA 30189-4852
(770) 926-6520
(770) 926-1359
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT008130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52704315002
BCBS MARIETTA LOCATION
GA
01
—
52704315003
BCBS AUSTELL LOCATION
GA
01
—
52704315004
BCBS DOUGLASVILLE LOCATIO
GA
01
—
5274315001
BCBS WOODSTOCK LOCATION
GA
Enumeration date
06/22/2006
Last updated
03/31/2009
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