Individual
MRS. LISA LUISE HEUSEL-GILLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1004
(404) 712-4803
Mailing address
151 COVENTRY RD, DECATUR, GA 30030-2302
(404) 377-6164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002203
GA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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