Deidre Deanne Hallonquist, PTA

NPI #1033835533 in Dunwoody, Georgia

Provider Information

NPI Number: 1033835533
Entity Type: Individual
Name: Deidre Deanne Hallonquist, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 17, 2022
Last Updated: Oct 17, 2022

Practice Location

Address: 4355 GEORGETOWN SQ
City: Dunwoody
State: Georgia
ZIP Code: 30338-6266
Phone: (770) 644-0862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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