Individual
MR. KENNETH LESTER LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4496 TRAVIS DR, OAKWOOD, GA 30566-2115
(770) 532-7441
(770) 532-7441
Mailing address
4496 TRAVIS DR, OAKWOOD, GA 30566-2115
(770) 532-7441
(770) 532-7441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001056
GA
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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