# COMPLETE PHYSICAL THERAPY & DIAGNOSTIC CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548388697
- **Authorized official:** RENEE LECLAIR (OFFICE MANAGER)
- **Authorized official phone:** (770) 822-3031

## Contact information

- **Practice address:** 555 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30045-8716
- **Practice address phone:** (770) 822-3031
- **Practice address fax:** (770) 822-3032
- **Mailing address:** 555 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30045-8716
- **Mailing address phone:** (770) 822-3031
- **Mailing address fax:** (770) 822-3032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 026300 | GA | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020