Doctor Name: | LAURA M VINCENT |
NPI Number: | 1861673253 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT006583 |
Business Practice Address: | 3950 Cobb Pkwy Nw Suite 103 Acworth, GA - 301019532 |
Business Phone Number: | 7709170924 |
Business Fax Number: | 7709170926 |
Mailing Address: | Po Box 242278, MONTGOMERY |
State: | AL |
Postal Code: | 361242278 |
Phone Number: | 3346255795 |
Fax Number: | 3343944905 |
NPI Enumeration Date: | 11/14/2007 |
NPI Last Update Date: | 06/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT006583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |