IndividualActive
Debora Lock, PT
NPI 1184784928 · Pediatric Physical Therapist · Marietta, GA
Provider details
- NPI number
- 1184784928
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 8258 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2465 Canopy Gln
Marietta, GA 30066-1541
Phone: (770) 517-2480
Fax: (770) 592-9431
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 670207
Marietta, GA 30066-0121
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.