OrganizationActive
1source Fitness & Sports-Neuro Rehab LLC
NPI 1922379189 · Physical Therapy Clinic/Center · Lawrenceville, GA
Provider details
- NPI number
- 1922379189
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Collin Adu, Dr. of Physical Therapy(678) 257-4037
- License
- PT009750 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1670 Mckendree Church Rd Ste 40
Lawrenceville, GA 30043-4100
Phone: (678) 257-4037
Fax: (678) 819-7536
Approximate (ZIP-level) locationGet directions
Mailing address
1670 Mckendree Church Rd Ste 40
Lawrenceville, GA 30043-4100
Other names (DBA / former)
- Doing business as
- Onesource Sports Neuro Rehab
Registry dates
- Enumerated
- 2012-01-19
- Last updated
- 2020-03-20
- Certified
- 2020-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.