Individual
LAURA CAROL DORNINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2855 STRATFIELD CT, CUMMING, GA 30041-8286
(770) 889-9023
Mailing address
2855 STRATFIELD CT, CUMMING, GA 30041-8286
(770) 889-9023
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT007635
GA
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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