Individual
MARY ASHLY LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
63 HIDDEN LAKES DR, CARROLLTON, GA 30116-8903
(770) 845-1574
Mailing address
63 HIDDEN LAKES DR, CARROLLTON, GA 30116-8903
(770) 845-1574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007533
GA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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