Provider Demographics
NPI:1467416107
Name:MUNROE, ALISON B (PT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:B
Last Name:MUNROE
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 1:2550 WINDY HILL RD SE
Mailing Address - Street 2:SUITE 317
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8665
Mailing Address - Country:US
Mailing Address - Phone:770-933-1900
Mailing Address - Fax:770-951-9958
Practice Address - Street 1:2550 WINDY HILL RD SE
Practice Address - Street 2:SUITE 317
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8665
Practice Address - Country:US
Practice Address - Phone:770-933-1900
Practice Address - Fax:770-951-9958
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0063302251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAQ31642Medicare UPIN
GA65BBCTBMedicare ID - Type Unspecified