NUTTA-ON BLAIR

NORCROSS, GA
NPI1508370453
Former NameNUTTA-ON PROMJUNYAKUL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251N0400X Physical Therapist, Neurology
(Licence: GA  PT013222)
Additional Taxonomies2251N0400X Physical Therapist, Neurology
(Licence: CO  PTL.0014385)
2251P0200X Physical Therapist, Pediatrics
(Licence: GA  PT013222)
2251P0200X Physical Therapist, Pediatrics
(Licence: CO  PTL.0014385)
Enumeration Date2017-11-29
Last Update Date2017-11-29
Business Address
Dr. NUTTA-ON BLAIR PT, PhD
6475 JIMMY CARTER BLVD STE 200
NORCROSS, GA 30071-1734
Phone number: 770-242-7744
Mailing Address
Dr. NUTTA-ON BLAIR PT, PhD
315 ROLLING MIST CT
ALPHARETTA, GA 30022-4405
Phone number: 414-324-1176