Individual
MALIE CHRISTINE MAYSILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-7775
(404) 712-7774
Mailing address
2413 LAWRENCEVILLE HWY APT 8, DECATUR, GA 30033-3213
(404) 712-7775
(404) 712-7774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7770
GA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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