Individual
GLOICIE DARLENE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3625 BRASELTON HWY, STE 204, DACULA, GA 30019-1014
(770) 932-9521
(770) 932-9523
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011910
GA
Other
Enumeration date
04/27/2015
Last updated
06/10/2015
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