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Contact Information

NUTTA ON BLAIR, PT, PHD
6475 JIMMY CARTER BLVD STE 200
NORCROSS, GA30071-1734
 Phone: 770-242-7744
 Fax: 770-368-0164
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NUTTA ON BLAIR · (Female)

NPI Number 1508370453
Status Active
Credentials PT, PHD
Entity Individual
Enumeration date 11/29/2017
Last updated 11/29/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # PTL.0014385
  • GA License # PT013222
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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