Individual
AUTUMN RACHEL ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(678) 594-6080
(678) 594-6081
Mailing address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(678) 594-6080
(678) 594-6081
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT007378
GA
Other
Enumeration date
04/05/2006
Last updated
03/18/2010
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