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1376184101
KELLY HASKELL PECZKA
FAYETTEVILLE, GA
NPI
1376184101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 009203)
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
KELLY HASKELL PECZKA
500 LANIER AVE W STE 702
FAYETTEVILLE, GA 30214-7643
Phone number: 413-250-7848
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Mailing Address
KELLY HASKELL PECZKA
376 DINGLER RD
MORELAND, GA 30259-2229
Phone number: 413-250-7848
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