Individual
ADRIENNE T. BLACKSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2410 DEKALB MEDICAL PKWY, SUITE E, LITHONIA, GA 30058-4999
(678) 418-8072
(678) 518-0137
Mailing address
2410 DEKALB MEDICAL PKWY, SUITE E, LITHONIA, GA 30058-4999
(678) 418-8072
(678) 518-0137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009508
GA
Other
Enumeration date
01/30/2009
Last updated
04/21/2011
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