Individual
LISA MARIE FRAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2850 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30062-5684
(770) 643-0868
(770) 643-0869
Mailing address
PO BOX 670207, MARIETTA, GA 30066-0121
(770) 643-0868
(770) 643-0869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
012005
GA
2251P0200X
Pediatric Physical Therapist
Primary
012005
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012005
PT LICENSE
GA
Enumeration date
08/12/2015
Last updated
08/12/2015
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