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MICHELE ELLEN AUDET PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1326675372
Individual Registrant: MICHELE ELLEN AUDET PT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1529 SAGEWOOD CIR STONE MOUNTAIN, GA 30083-1205 US
Tel: 404-580-3995 Fax: --
Tel: 404-580-3995 Fax: --
Contact information for business:
1529 SAGEWOOD CIR STONE MOUNTAIN, GA 30083-1205 US
Tel: 404-580-3995 Fax: --
Tel: 404-580-3995 Fax: --
Registration Information:
NPI: 1326675372
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | GA | 001309 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
