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Individual

LISA COINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
550 PEACHTREE STREET, L231, ATLANTA, GA 30308
(610) 413-8131
Mailing address
100 AZALEA GARDEN DRIVE, APT 2205, DUNWOODY, GA 30338
(610) 413-8131

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208429
VA
225100000X
Physical Therapist
PT009039
GA

Other

Enumeration date
06/20/2007
Last updated
07/26/2019
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