Individual
CHARLENE GRACE LOFTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, DPT
Contact information
Practice address
815 CHURCH STREET, MARIETTA, GA 30062
(770) 792-5284
(770) 792-1513
Mailing address
805 SANDY PLAINS RD, MARIETTA, GA 30066-6340
(770) 792-5284
(770) 792-1513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008859
GA
Other
Enumeration date
11/26/2007
Last updated
12/19/2012
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