NPI 1407226699

Keisha Diallo

Practitioner Rehabilitation Practitioner Norcross, GA

Practice location

Address: 233 Ardsley Pl, Norcross, GA 30093-5207
Phone: (240) 354-1163

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence SLP006978 (GA)

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Registry record

NPI: 1407226699
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2015
Record last updated: 30 Sep 2015

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.