Individual
CELIA MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA, LMT, CNMT
Contact information
Practice address
1905 WOODSTOCK RD, SUITE 3100, ROSWELL, GA 30075-5616
(770) 653-1358
Mailing address
2044 DAYRON CT, MARIETTA, GA 30062-1798
(770) 653-1358
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001371
GA
225700000X
Massage Therapist
MT000165
GA
Other
Enumeration date
01/22/2007
Last updated
05/19/2009
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