Fraher, Lisa Marie

Fraher, Lisa Marie is an sole proprietor health care provider with primary practice located at 2850 Johnson Ferry Rd Suite 100, Marietta GA 30062-5684. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Fraher, Lisa Marie can be contacted via phone (770) 643-0868.

Contact Information

Primary practice address
2850 Johnson Ferry Rd Suite 100 Marietta GA 30062-5684
Phone: (770) 643-0868
Fax: (770) 643-0869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 012005 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 012005 Georgia

Profile Details

NPI number 1548636632
LBN Legal business name Fraher, Lisa Marie
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2015
Last updated Aug 12th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548636632 NPPES
Georgia Other 012005 PT LICENSE

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