Mackenson Lafortune

NPI #1780228171 in Dacula, Georgia

Provider Information

NPI Number
1780228171
Entity Type
Individual
Name
Mackenson Lafortune
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Oct 29, 2019
Last Updated
Sep 28, 2021

Practice Location

Address
1424 FILIGREE PL
City
Dacula
State
Georgia
ZIP Code
30019
Phone
(678) 790-2882

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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