Individual
MRS. CREE MATTHEWS LAUSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
415 WAVERLY DR, AUGUSTA, GA 30909-3151
(706) 738-9885
Mailing address
415 WAVERLY DR, AUGUSTA, GA 30909-3151
(706) 738-9885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001422
GA
225100000X
Physical Therapist
702
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THO411
—
SC
Enumeration date
06/23/2006
Last updated
07/09/2007
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