SearchGeorgia225100000X

Pauline Bondoc-Roaquin, P.T

NPI 1487998761 · on the registry since 2012 · sole proprietor

Practice

Address
650 Professional Dr
Lawrenceville, GA 30046
Phone
(678) 312-3000
Organisation at this address
Northside Hospital, Inc.
Northside Hospital, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 1833 Clifton Rd Ne, Atlanta, GA
  • 3100 Club Dr, Lawrenceville, GA
  • 11405 Medlock Bridge Rd, Johns Creek, GA

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia