Individual
MS. LAURA JOHNSON TARRAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
5260 MANHASSET CT, ATLANTA, GA 30338-3410
(404) 232-0920
(770) 350-0754
Mailing address
5260 MANHASSET CT, ATLANTA, GA 30338-3410
(404) 232-0920
(770) 350-0754
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
002883
GA
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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