Mia Lauren Holm
Mia Lauren Holm is a Physical Therapist in Private Practice in Atlanta, Georgia. Qualified in 2023, 3 years ago. Practices with Peachtree Orthopaedic Clinic PA, a 132-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 3
- Licensed in
- GA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
224B Johnson Ferry Rd NEAtlanta, GA 30328-3820
Phone: (470) 300-6670
Fax: (470) 300-6671
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT016591 (GA) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1346802998 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 3, 2019 |
| Last updated in NPPES | June 1, 2023 |
| Certification date | June 1, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Peachtree Orthopaedic Clinic Pa — 132 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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