NPI 1346729845
Patrice M Pusha
Practice location
- Address
- 1291 Stanley Rd NW, Kennesaw, GA 30152-4359
- Phone
- (770) 427-0147
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1346729845
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Aug 2018
- Record last updated
- 7 Aug 2018
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.