Individual provider · NPI-1

Dale Harrison Alderman, DPT

Physical Therapist · Lawrenceville, GA

NPI number1669782389
StatusActive
Last updated in NPPESOct 15, 2010

Details

NPI
1669782389
Entity type
Individual (NPI-1)
Name
Dale Harrison Alderman
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Oct 15, 2010
Last updated
Oct 15, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT010110GAYes

Practice location

595 Hurricane Shoals Rd Nw
Suite 100
Lawrenceville, GA 30046

Phone 678-205-5420 · Fax 678-205-5462

Mailing address

1095 Lake Windward Overlook
Alpharetta, GA 30005

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