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1780288696
EKATERINA DANIELIAN
ROSWELL, GA
NPI
1780288696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004546)
Enumeration Date
2020-11-23
Last Update Date
2020-11-23
Business Address
EKATERINA DANIELIAN
75 MAGNOLIA ST
ROSWELL, GA 30075-4381
Phone number: 470-740-7419
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Mailing Address
EKATERINA DANIELIAN
370 SWINGLINE LN
ALPHARETTA, GA 30004-3135
Phone number: 818-400-0940
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