Provider Demographics
NPI:1083411417
Name:CULP, LAUREN R (PT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:R
Last Name:CULP
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2300 BETHELVIEW RD # 110-341
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-9475
Mailing Address - Country:US
Mailing Address - Phone:678-464-8507
Mailing Address - Fax:
Practice Address - Street 1:2300 BETHELVIEW RD # 110-341
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-9475
Practice Address - Country:US
Practice Address - Phone:678-536-2033
Practice Address - Fax:678-536-2033
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0176052251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic