NPI 1003625492

Alyssa Daniele Antonicello

Practitioner Physical Therapist Cumming, GA

Practice location

Address: 2030 Barrett Downs Dr, Cumming, GA 30040-9657
Phone: (859) 338-2772

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 013299 (GA)

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Registry record

NPI: 1003625492
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Dec 2024
Record last updated: 8 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.