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Organization
TRIKARE THERAPY SERVICES, LLC
Active
Organization
TRIKARE THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLTON LAMAR LAWRENCE PT, DPT, MSR (PHYSICAL THERAPIST)
(678) 467-7368
Entity
Organization
Contact information
Practice address
3210 WHELDON WAY, DOUGLASVILLE, GA 30135-3107
(678) 467-7368
Mailing address
3210 WHELDON WAY, DOUGLASVILLE, GA 30135-3107
(678) 467-7368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007278
GA
235Z00000X
Speech-Language Pathologist
SLP005137
GA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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