Individual
LISA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 MARIETTA HWY, ROSWELL, GA 30075-4706
(770) 998-0729
Mailing address
400 MARIETTA HWY, ROSWELL, GA 30075-4706
(770) 998-0729
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003143
GA
Other
Enumeration date
09/03/2013
Last updated
10/29/2013
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