Individual provider · Type 1 NPI
Lorna Bippart Wild, PTA
Specialist · Suwanee, GA
NPI number
1033387253
Active
Practice location
120 Highgrove Dr
Suwanee, GA 30024-4294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | PTA001184 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Suwanee
About NPI 1033387253
Lorna Bippart Wild, PTA's National Provider Identifier is 1033387253, issued on Feb 11, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Suwanee, GA. The record was last updated on Feb 11, 2008.