Individual
KAITLYN ROSE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1615 RIDENOUR BLVD NW STE 204, KENNESAW, GA 30152-4464
(770) 580-8070
Mailing address
2759 ARBOR AVE SE, ATLANTA, GA 30317-2903
(305) 968-8212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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