Individual
LAURA CRACE MCBURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2815 BUFORD DR STE 102, BUFORD, GA 30519-8151
(770) 271-4413
(770) 271-4416
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305204385
VA
225100000X
Physical Therapist
Primary
PT001401
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310882
OPTIMUM CHOICE
VA
01
—
47610196
CAREFIRST
VA
Enumeration date
11/01/2006
Last updated
07/09/2018
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