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1376060509
ALISA MALTE
MARIETTA, GA
NPI
1376060509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT012452)
Enumeration Date
2017-08-28
Last Update Date
2017-08-28
Business Address
ALISA MALTE PT
2285 PRISCILLA DR
MARIETTA, GA 30066-4629
Phone number: 678-234-5267
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Mailing Address
ALISA MALTE PT
2285 PRISCILLA DR
MARIETTA, GA 30066-4629
Phone number: 678-234-5267
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