Individual
MADISON HORTON LACIENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5241
Mailing address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013563
GA
Other
Enumeration date
07/31/2018
Last updated
12/29/2025
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