Individual provider · NPI-1

Curtis Wright Bazemore, PT, ATC

Physical Therapist · Lawrenceville, GA

NPI number1114001328

StatusActive

Last updated in NPPESFeb 12, 2008

Details

NPI: 1114001328
Entity type: Individual (NPI-1)
Name: Curtis Wright Bazemore
Credential: PT, ATC
Sex: Male
Sole proprietor: No
Enumeration date: Oct 24, 2006
Last updated: Feb 12, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	PT000825	GA	Yes
2255A2300X	Specialist/Technologist, Athletic Trainer	ATC000238	GA

Practice location

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925

Phone 770-237-3475 · Fax 770-237-3756

Mailing address

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925

Phone 770-237-3475 · Fax 770-237-3756

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