Individual
AMY DESMOND FRESOLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 TRINITY LN, CANTON, GA 30115-7758
(404) 313-4015
Mailing address
150 TRINITY LN, CANTON, GA 30115-7758
(404) 313-4015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003076
GA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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