Individual
HEATHER DAWN MACLEOD LAWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11190 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-2578
(678) 464-7162
Mailing address
12775 OAK FALLS DR, ALPHARETTA, GA 30009-3062
(770) 309-1273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00498
GA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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