IndividualActive
Darci Debaun, P.T.
NPI 1164589990 · Pediatric Physical Therapist · Lawrenceville, GA
Provider details
- NPI number
- 1164589990
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT007355 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
318 W Pike St
Suite 104
Lawrenceville, GA 30045-3234
Phone: (678) 377-2833
Fax: (678) 377-2882
Approximate (ZIP-level) locationGet directions
Mailing address
3391 Shorelake Dr
Tucker, GA 30084-1279
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.