Individual
LISA SUNDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4310 JOHNS CREEK PKWY, SUWANEE, GA 30024-6091
(770) 495-0610
Mailing address
4310 JOHNS CREEK PKWY STE 130, SUWANEE, GA 30024-6092
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013402
GA
Other
Enumeration date
06/13/2018
Last updated
05/15/2021
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