NPI 1013022417

Susan Harbison Mayne, PT

Practitioner Physical Therapist Marietta, GA

Practice location

Address: 2217 Roswell Rd. Suite A100, Marietta, GA 30062
Phone: (770) 321-6600
Fax: (770) 321-5559
Mailing address: 310 Technology Pkwy, Norcross, GA 30092-2932

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT002955 (GA)

Other Physical Therapist providers in Georgia →

Registry record

NPI: 1013022417
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.