Individual
DENISE MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4745 BRIDGEWATER DR SW, LILBURN, GA 30047-3928
(770) 337-9956
Mailing address
4745 BRIDGEWATER DR SW, LILBURN, GA 30047-3928
(770) 337-9956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004479
GA
Other
Enumeration date
09/01/2014
Last updated
09/01/2014
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