Individual
LAURA M VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3950 COBB PKWY NW, SUITE 103, ACWORTH, GA 30101-9532
(770) 917-0924
(770) 917-0926
Mailing address
PO BOX 242278, MONTGOMERY, AL 36124-2278
(334) 625-5795
(334) 394-4905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006583
GA
Other
Enumeration date
11/14/2007
Last updated
06/10/2015
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