Sutherland Physical Therapy, Inc. in Valdosta - Pediatrics

Sutherland Physical Therapy, Inc. - NPI 1689730319

Sutherland Physical Therapy, Inc. is a Pediatrics in Valdosta, Georgia. Sutherland Physical Therapy, Inc. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Sutherland Physical Therapy, Inc. is 1689730319. The last update date is 2015-10-02.

Sutherland Physical Therapy, Inc.'s current location address is 5108 Northwind Blvd, Valdosta, Georgia. You can contact this provider via phone number 2292441201 and fax number 2292441207. The mailing address for Sutherland Physical Therapy, Inc. is 5108 Northwind Blvd, Valdosta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sutherland Physical Therapy, Inc.
Address 5108 Northwind Blvd, Valdosta, Georgia
Phone Number 2292441201
Fax Number 2292441207
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICAL T
Authorized Official Name Sutherland Jennifer Michelle
Credentials PT
Telephone Number 2292927426

NPI Number Detail

NPI Number 1689730319
Provider Enumeration Date 2006-12-28
Last Updated Date 2015-10-02

Provider Mailing Address Detail

Address 5108 Northwind Blvd
City Valdosta
State Georgia (GA)
Post Code 316057672
Phone Number 2292441201
Fax Number 2292441207

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No PT007469
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000957635C GA --

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FAQs about Sutherland Physical Therapy, Inc.

What is the Sutherland Physical Therapy, Inc.'s unique identification number?

The Sutherland Physical Therapy, Inc. has been assigned the NPI (National Provider Identifier) Number 1689730319 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Sutherland Physical Therapy, Inc.?

The Sutherland Physical Therapy, Inc. is physically situated at 5108 Northwind Blvd, in the city of Valdosta, state of GA, with the postal code 316057672.

What is Sutherland Physical Therapy, Inc.'s area of expertise and its corresponding taxonomy classification?

The Sutherland Physical Therapy, Inc.'s field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1689730319 to Sutherland Physical Therapy, Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1689730319 to Sutherland Physical Therapy, Inc. on 2006-12-28.

When was the information pertaining to Sutherland Physical Therapy, Inc. most recently updated or revised?

The details related to Sutherland Physical Therapy, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2015-10-02.

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