NPI 1780228171

Mackenson Lafortune

Practitioner Physical Therapy Assistant Dacula, GA

Practice location

Address: 1424 Filigree Pl, Dacula, GA 30019
Phone: (678) 790-2882
Mailing address: 1424 Filigree Pl, Dacula, GA 30019-7528

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

Other Physical Therapy Assistant providers in Georgia →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

Registry record

NPI: 1780228171
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2019
Record last updated: 28 Sep 2021

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.