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NPI Code Detail

MEDICARE: CHELSEY LLAURADOR

MEDICARE:   CHELSEY  LLAURADOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT013408GA

General Provider Information

NPI Number : 1962996298
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEY LLAURADOR
Provider Business Mailing Address
First Line : 2905 ATLANTA RD SE STE 300
Second Line :
City : SMYRNA
State : GA
Zip : 30080-3654
Country : US
Telephone Number : 470-632-1019
Fax Number :
Provider Business Practice Location Address
First Line : 2905 ATLANTA RD SE STE 300
Second Line :
City : SMYRNA
State : GA
Zip : 30080-3654
Country : US
Telephone Number : 470-632-1019
Fax Number : 470-632-1026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2018
Last Update Date : 05/23/2023

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Directions to “ CHELSEY LLAURADOR ” Practice Location

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