Lock, Debora P
Lock, Debora P is an individual health care provider with primary practice located at 2465 Canopy Gln , Marietta GA 30066-1541. 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 / Physical Therapist is her primary health care specialty. Lock, Debora P can be contacted via phone (770) 517-2480.Contact Information
Primary practice address
2465 Canopy Gln
Marietta GA 30066-1541
Phone: (770) 517-2480
Fax: (770) 592-9431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 8258 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 8258 | Georgia |
Profile Details
| NPI number | 1184784928 |
|---|---|
| LBN Legal business name | Lock, Debora P |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184784928 | NPPES |
| Georgia | Other | 8258 | PHYSICAL THERAPY LICENSE |
| Georgia | Other | 318308 | PHYSICAL THERAPY LICENSE |
| Georgia | Other | 10040374 | PHYSICAL THERAPY LICENSE |
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