Provider Demographics
NPI:1215027693
Name:HOELL, DENISE MONIQUE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:MONIQUE
Last Name:HOELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 SUMMER BREEZE GLN
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-8196
Mailing Address - Country:US
Mailing Address - Phone:678-714-6708
Mailing Address - Fax:770-456-5224
Practice Address - Street 1:4411 SUWANEE DAM RD.
Practice Address - Street 2:SUITE 455
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1929
Practice Address - Country:US
Practice Address - Phone:678-714-6708
Practice Address - Fax:770-456-5224
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT004301225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist