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Individual

LAURA HUMERICKHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, CSCS

Contact information

Practice address
1648 MARKET PLACE BLVD, CUMMING, GA 30041-7927
(678) 679-3587
Mailing address
8945 CONTINENTAL TRL, GAINESVILLE, GA 30506-4824
(770) 314-6479

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
04/25/2021
Last updated
04/25/2021
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