Individual
JOHN DAVID CUCINOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
610 PEACHTREE PKWY, SUITE 101, CUMMING, GA 30041-9712
(678) 455-5600
(678) 455-4554
Mailing address
610 PEACHTREE PKWY, SUITE 101, CUMMING, GA 30041-9712
(678) 455-5600
(678) 455-4554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007730
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611446156001
TRICARE
GA
Enumeration date
07/11/2008
Last updated
07/16/2008
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