Organization · Type 2 NPI

Gwinnett Sportherapy

Specialist · Lawrenceville, GA

NPI number 1265604896 Active

Practice location

965 Oakland Rd Ste 2C
Lawrenceville, GA 30044-3758

Call (770) 962-2228 Map

Fax (770) 962-2332

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT004490 (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.

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About NPI 1265604896

Gwinnett Sportherapy's National Provider Identifier is 1265604896, issued on Mar 24, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lawrenceville, GA. The record was last updated on Mar 24, 2008.