SearchGeorgiaPhysical Therapy Assistant

Mackenson Lafortune

NPI 1780228171 · on the registry since 2019 · sole proprietor

Practice

Address
1424 Filigree Pl
Dacula, GA 30019
Phone
(678) 790-2882

Additional practice sites

  • 1424 Filigree Pl, Dacula, GA
  • 1424 Filigree Pl, Dacula, GA
  • 1424 Filigree Pl, Dacula, GA

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Also registered as
Physical Therapy Assistant
Licence states on file
FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-28

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