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Lisa Langley Stacy, PT
Pediatric Physical Therapist in Powder Springs, Georgia
NPI 1851486070

Lisa Langley Stacy is a Pediatric Physical Therapist based in Powder Springs, GA and is specialized in Pediatrics. Lisa Langley Stacy practices in Powder Springs, GA and has the professional credentials of PT. The NPI Number for Lisa Langley Stacy is 1851486070 and holds a License No. 007304 (Georgia).

The current practice location address for Lisa Langley Stacy is 5179 Marsden Trce, Powder Springs, GA and can be reached out via phone at 678-472-4042.

Location: 5179 Marsden Trce, Powder Springs, GA, 30127-4321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851486070
Provider Name
Lisa Langley Stacy
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
5179 Marsden Trce, Powder Springs, GA, 30127-4321
Phone Number
678-472-4042
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
736506618A 05 GA
institution
Provider Business Practice Location Address Details
Address
5179 Marsden Trce
City
Powder Springs
State
Georgia
Zip
30127-4321
Phone Number
678-472-4042
Fax Number
person
Provider Business Mailing Address Details
Address
5179 Marsden Trce
City
Powder Springs
State
Georgia
Zip
30127-4321
Phone Number
678-472-4042
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
007304 (Georgia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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