Search › Georgia › 2255A2300X
Sarah Muccillo, MS, ATC, LAT
NPI 1336637214 · on the registry since 2018 · sole proprietor
Practice
- Address
- 30 Laurel Canyon Village Cir Apt 5203
Canton, GA 30114 - Phone
- (770) 842-7903
- Organisation at this address
- Alternative Key Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia