NPI 1104261692
Alicia Owen, PTA
Practice location
- Address
- 6600 Peachtree Dunwoody Rd NE Bldg 400 STE 123, Atlanta, GA 30328-6773
- Phone
- (678) 587-9922
- Mailing address
- 5155 Ebenezer Rd, Buena Vista, GA 31803-9505
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1104261692
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 May 2013
- Record last updated
- 9 May 2013
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.