Individual
LISA MYLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6160 PEACHTREE DUNWOODY RD, SUITE B-90, ATLANTA, GA 30328-4578
(770) 673-0093
(770) 673-8368
Mailing address
6160 PEACHTREE DUNWOODY RD, SUITE B-90, ATLANTA, GA 30328-4578
(770) 673-0093
(770) 673-8368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011409
GA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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