Individual
LAURIE JEAN SCRIPSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2367 HIGHWAY 196 W, HINESVILLE, GA 31313-8036
(912) 368-9355
(912) 368-9360
Mailing address
2367 HIGHWAY 196 W, HINESVILLE, GA 31313-8036
(912) 368-9355
(912) 368-9360
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002633
GA
225200000X
Physical Therapy Assistant
PTA620
RI
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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