GWINNETT SPORTHERAPY NPI 1265604896

NPI Information

GWINNETT SPORTHERAPY is a specialist in Lawrenceville, GA. The provider is 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. GWINNETT SPORTHERAPY NPI is 1265604896. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

965 OAKLAND RD STE 2C
LAWRENCEVILLE, GA
ZIP 30044-758
Phone: (770) 962-2228
Fax: (770) 962-2332

The provider's authorized official is Sonya Weaver Wright .
The authorized official title is Manager and has the following contact phone number (770) 962-2228.

The enumeration date for this NPI number is 3/24/2008 and was last updated on 3/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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