Individual provider · NPI-1

Vivian Albert

Physical Therapist, Pediatrics · Lawrenceville, GA

NPI number1831643493
StatusActive
Last updated in NPPESAug 11, 2016

Details

NPI
1831643493
Entity type
Individual (NPI-1)
Name
Vivian Albert
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 11, 2016
Last updated
Aug 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251P0200X Physical Therapist, PediatricsPT012551GAYes

Practice location

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

Phone 678-377-2833

Mailing address

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

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