NPI 1205386679

Alena Koval

Practitioner Physical Therapy Assistant Cumming, GA

Practice location

Address: 5235 Double Branches Dr, Cumming, GA 30040-6360
Phone: (770) 789-6767

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 003630 (GA)

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Registry record

NPI: 1205386679
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2016
Record last updated: 10 Oct 2016

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.