Female

Lisa J. Capshaw PTA

Physical Therapy Assistant in Marietta, GA(View on Map)

Full Name

Lisa J Capshaw PTA

NPI Number

1154761591

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/30/2013

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

PTA000129

Contact
Information

Purpose

Mailing
Location

Address

190 BIRCH RILL DR
1551 JOHNSON FERRY RD

City

Alpharetta
Marietta

State

GA
GA

Postal Code

30022-5025
30062-6438

Country

US
US

Telephone Number

(404) 944-3867
(770) 361-1772

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/30/2013

Provider Address

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