Ethel Latarsha Frazier in Conyers - Physical Therapist
Ethel Latarsha Frazier - NPI 1154515542
Ethel Latarsha Frazier is a Physical Therapist in Conyers, Georgia. Ethel Latarsha Frazier practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Ethel Latarsha Frazier is 1154515542. The last update date is 2007-08-29.
Ethel Latarsha Frazier's current location address is 3701 Jolane Ter Se, Conyers, Georgia. You can contact this provider via phone number 7707857937 and fax number 7707857937. The mailing address for Ethel Latarsha Frazier is 3701 Jolane Ter Se, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethel Latarsha Frazier |
|---|---|
| Address | 3701 Jolane Ter Se, Conyers, Georgia |
| Phone Number | 7707857937 |
| Fax Number | 7707857937 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1154515542 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 3701 Jolane Ter Se |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 300943874 |
| Phone Number | 7707857937 |
| Fax Number | 7707857937 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT006083 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique identification code assigned to Ethel Latarsha Frazier by the Centers for Medicare & Medicaid Services?
The Ethel Latarsha Frazier has been issued the NPI (National Provider Identifier) 1154515542. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ethel Latarsha Frazier's physical address?
The Ethel Latarsha Frazier is physically located at 3701 Jolane Ter Se, in the city of Conyers, GA, with the postal code 300943874.
What is Ethel Latarsha Frazier's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ethel Latarsha Frazier is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date was the 1154515542 assigned to Ethel Latarsha Frazier?
The Ethel Latarsha Frazier was issued its 1154515542 on 2007-08-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ethel Latarsha Frazier most recently updated or refreshed?
The details pertaining to the Ethel Latarsha Frazier, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-29.
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