Individual
LAURA AINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4580 TOWNE LAKE PKWY, WOODSTOCK, GA 30189-5521
(770) 592-2195
Mailing address
151 EAGLE GLEN DR, WOODSTOCK, GA 30189-6932
(470) 265-7175
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003157
GA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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