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1154761591
LISA J CAPSHAW
MARIETTA, GA
NPI
1154761591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA000129)
Enumeration Date
2013-06-30
Last Update Date
2013-06-30
Business Address
-- LISA J CAPSHAW PTA
1551 JOHNSON FERRY RD
MARIETTA, GA 30062-6438
Phone number: 770-361-1772
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Mailing Address
-- LISA J CAPSHAW PTA
190 BIRCH RILL DR
ALPHARETTA, GA 30022-5025
Phone number: 404-944-3867
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