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Individual

LORI EWING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
1500 OGLETHORPE AVE, ATHENS, GA 30606-2179
(706) 389-2273
(706) 208-8883
Mailing address
PO BOX 6588, ST MARYS HOME HEALTH CARE, ATHENS, GA 30604-9828
(706) 389-2273
(706) 208-8883

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
002848
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00838857A
GA
Enumeration date
07/20/2006
Last updated
06/24/2021
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