Dylan Buckley Elliott, PT, DPT, CSCS Valid NPI

Individual provider · Physical Therapist · Loganville, GA

NPI

1215316708

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PT011888 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2015-05-29

Last updated

2015-05-29