Individual
CASEY TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4516B CHAMBLEE DUNWOODY RD # 22, DUNWOODY, GA 30338-6202
(678) 459-3740
Mailing address
1850 GRAVES RD APT 723, NORCROSS, GA 30093-1079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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