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LAURA LYNN CHARLES PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1508035726
Individual Registrant: LAURA LYNN CHARLES PT
Gender: F
Not Sole Proprietor
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
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
Tel: 423-238-8907 Fax: 423-362-8684
Registration Information:
NPI: 1508035726
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | GA | PT002497 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
