KATIE BANNISTER

DACULA, GA
NPI1053475723
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT008836)
Enumeration Date2006-12-20
Last Update Date2007-07-09
Business Address
Dr. KATIE BANNISTER DPT
3615 BRASELTON HWY SUITE 104
DACULA, GA 30019-5906
Phone number: 770-904-6009
Mailing Address
Dr. KATIE BANNISTER DPT
774 INMAN MEWS DR NE
ATLANTA, GA 30307-2499
Phone number: 678-478-9858