Individual
BRIANNA LEE FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1669 PHOENIX PKWY STE 102, COLLEGE PARK, GA 30349-5462
(770) 907-1023
Mailing address
5115 STONE CROFT TRL SW, ATLANTA, GA 30331-7692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014299
GA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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