Lisa Marie Fraher, DPT
Physical Therapist, Pediatrics in Marietta, GA. Individual provider (NPI-1).
NPI number1548636632
StatusActive
Last updated in NPPESAug 12, 2015
Details
- NPI
- 1548636632
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Fraher
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2015
- Last updated
- Aug 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | 012005 | GA | Yes |
| 225100000X | Physical Therapist | 012005 | GA |
Practice location
2850 Johnson Ferry RdSuite 100
Marietta, GA 30062-5684
Phone 770-643-0868 · Fax 770-643-0869
Mailing address
Po Box 670207Marietta, GA 30066-0121
Phone 770-643-0868 · Fax 770-643-0869
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All 23 Pediatric Physical Therapist providers in Marietta · All 9,180 providers in Marietta
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