Individual
MRS. LAURA WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1266 W PACES FERRY RD NW STE 664, ATLANTA, GA 30327-2306
(404) 467-7780
(770) 664-8626
Mailing address
888 MUIRFIELD TRL, MARIETTA, GA 30068-2654
(404) 432-9224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4917
GA
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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