Individual
LORI ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 MANGUM ST SW STE 131, ATLANTA, GA 30313-1366
(404) 282-5456
Mailing address
575 PHARR RD NE UNIT 53364, ATLANTA, GA 30355-4094
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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