Individual
LISA J CAPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1551 JOHNSON FERRY RD, MARIETTA, GA 30062-6438
(770) 361-1772
Mailing address
190 BIRCH RILL DR, ALPHARETTA, GA 30022-5025
(404) 944-3867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000129
GA
Other
Enumeration date
06/30/2013
Last updated
06/30/2013
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