Individual
ILYA LASHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2810 PACES FERRY RD SE STE 132, ATLANTA, GA 30339-5700
(470) 531-1180
Mailing address
2810 PACES FERRY RD SE STE 132, ATLANTA, GA 30339-5700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016009
GA
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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