NPI 1538846829

Justin Lee Sorensen, PTA

Practitioner Physical Therapy Assistant Dacula, GA

Practice location

Address: 2463 Hamilton Mill Pkwy, Dacula, GA 30019-4648
Phone: (770) 932-9521
Mailing address: PO Box 80, Littlefield, AZ 86432-0080

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 309718-2402 (UT)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1538846829
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2023
Record last updated: 29 Jun 2023

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.