Doctor Name: | MRS. QUIANA T FLUELLEN |
NPI Number: | 1518209584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT010942 |
Business Practice Address: | 2911 George Busbee Pkwy Nw Ste 50 Suite 50 Kennesaw, GA - 301446910 |
Business Phone Number: | 8443284624 |
Business Fax Number: | 7708822576 |
Mailing Address: | 2911 George Busbee Pkwy Nw Ste 50, Suite 50 KENNESAW |
State: | GA |
Postal Code: | 301446910 |
Phone Number: | 8443284624 |
Fax Number: | 7708822576 |
NPI Enumeration Date: | 03/18/2013 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT010942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |