Individual provider · NPI-1

Amy Anderson, PT, DPT

Physical Therapist · Lawrenceville, GA

NPI number1730556325
StatusActive
Last updated in NPPESNov 4, 2025

Details

NPI
1730556325
Entity type
Individual (NPI-1)
Name
Amy Anderson
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2015
Certification date
Nov 4, 2025
Last updated
Nov 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT012113GAYes
225100000X Physical TherapistPT0122222113GA

Practice location

545 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3389

Phone 678-696-1120

Mailing address

545 Old Norcross Rd Ste 100
Lawrenceville, GA 30046-3390

Phone 678-696-1120

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