Individual
DANIELA NICOLE AVELLANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
70 LINDSEY LN, SAINT MARYS, GA 31558-1635
(912) 510-6104
(912) 882-6137
Mailing address
PO BOX 5610, SAINT MARYS, GA 31558-5610
(912) 510-6104
(912) 882-6137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015599
GA
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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