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Individual

LAURA BRENNAN O'LANNERGHTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1366 US HIGHWAY 82 W, LEESBURG, GA 31763-5810
(229) 883-4009
(229) 883-4320
Mailing address
9070 W CHEYENNE AVE STE 100, LAS VEGAS, NV 89129-8935
(615) 498-2288

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293274
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
293274
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
07/27/2017
Last updated
02/09/2024
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