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Individual

LAURA ROADCAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1688 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-4608
(770) 995-2379
(770) 995-2385
Mailing address
1688 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-4608
(770) 995-2379
(770) 995-2385

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
000831
GA
2251P0200X
Pediatric Physical Therapist
Primary
PT000831
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10037760
GA
05
306070
GA
Enumeration date
12/19/2006
Last updated
09/11/2025
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