Provider Demographics
NPI:1265559439
Name:GREENFELD, LAUREN (PT)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:GREENFELD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:LAURENCE
Other - Last Name:GREENFELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2921 LENOX RD NE
Mailing Address - Street 2:#108
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-2813
Mailing Address - Country:US
Mailing Address - Phone:404-240-0844
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE STREET
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308
Practice Address - Country:US
Practice Address - Phone:404-686-2386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006807225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist