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LAURA LYNN CHARLES PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1508035726

Individual Registrant:
 LAURA LYNN CHARLES PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
114 VICTORY DR  SWAINSBORO, GA 30401-3235 US
Tel: 478-237-4017  Fax: 478-237-3074

Contact information for business:
114 VICTORY DR  SWAINSBORO, GA 30401-3235 US
Tel: 423-238-8907  Fax: 423-362-8684

Registration Information:
NPI: 1508035726
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
GAPT002497

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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