Individual
BRAXTON COSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1371 RIVER STATION DR, LAWRENCEVILLE, GA 30045-2749
(404) 304-0626
(678) 894-0342
Mailing address
1371 RIVER STATION DR, LAWRENCEVILLE, GA 30045-2749
(404) 304-0626
(678) 894-0342
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007884
GA
2251P0200X
Pediatric Physical Therapist
PT007884
GA
Other
Enumeration date
12/09/2007
Last updated
06/05/2020
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