Individual provider · Type 1 NPI

Lisa Marie Fraher, DPT

Pediatric Physical Therapist · Marietta, GA

NPI number 1548636632 Active

Practice location

2850 Johnson Ferry Rd, Suite 100
Marietta, GA 30062-5684

Fax (770) 643-0869

Mailing address

PO Box 670207
Marietta, GA 30066-0121

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X012005 (GA)
Pediatric Physical Therapist Primary 2251P0200X012005 (GA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1548636632

Lisa Marie Fraher, DPT's National Provider Identifier is 1548636632, issued on Aug 12, 2015. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Marietta, GA. The record was last updated on Aug 12, 2015.