Individual
MRS. LAURIE KATHLEEN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5403 AMBER COVE WAY, FLOWERY BRANCH, GA 30542-5739
(620) 272-7735
Mailing address
5403 AMBER COVE WAY, FLOWERY BRANCH, GA 30542-5739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011747
GA
Other
Enumeration date
04/26/2014
Last updated
08/03/2016
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