DEIDRE DEANNE HALLONQUIST PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1033835533- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 4355 GEORGETOWN SQ, DUNWOODY, GA, 303386266
- Phone
- (770) 644-0862
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: GA #PTA002494
All Addresses
MAILING
11077 HIGHWAY 100
HOGANSVILLE, GA, 302303910