Atlanta Physical Therapy Clinic, Inc. in Clarkesville - Sports
Atlanta Physical Therapy Clinic, Inc. - NPI 1225129638
Atlanta Physical Therapy Clinic, Inc. is a Sports in Clarkesville, Georgia. Atlanta Physical Therapy Clinic, Inc. practices all healthcare services and medical treatments related to Sports. The NPI Number for Atlanta Physical Therapy Clinic, Inc. is 1225129638. The last update date is 2020-08-22.
Atlanta Physical Therapy Clinic, Inc.'s current location address is 709 Old Burton Rd, Clarkesville, Georgia. You can contact this provider via phone number 7069471058 and fax number 7069470109. The mailing address for Atlanta Physical Therapy Clinic, Inc. is 709 Old Burton Rd, Clarkesville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Atlanta Physical Therapy Clinic, Inc. |
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Address | 709 Old Burton Rd, Clarkesville, Georgia |
Phone Number | 7069471058 |
Fax Number | 7069470109 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Womack J Bambi |
Credentials | PT |
Telephone Number | 4042527513 |
NPI Number Detail
NPI Number | 1225129638 |
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Provider Enumeration Date | 2006-09-28 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 709 Old Burton Rd |
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City | Clarkesville |
State | Georgia (GA) |
Post Code | 305231142 |
Phone Number | 7069471058 |
Fax Number | 7069470109 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Licence No | 1093 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
52885735 | GA | BCBS PROVDER # |
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What is the Atlanta Physical Therapy Clinic, Inc.'s 1225129638?
The Atlanta Physical Therapy Clinic, Inc.'s NPI (National Provider Identifier) Number is 1225129638. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Atlanta Physical Therapy Clinic, Inc.'s facilities are geographically located?
The facilities of Atlanta Physical Therapy Clinic, Inc. are physically situated at the following location: 709 Old Burton Rd, Clarkesville, GA, 305231142.
What is Atlanta Physical Therapy Clinic, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Atlanta Physical Therapy Clinic, Inc. is Sports, and the taxonomy code that classifies this field of practice is 2251S0007X.
When did the Atlanta Physical Therapy Clinic, Inc. receive its 1225129638?
The Atlanta Physical Therapy Clinic, Inc. was issued its 1225129638 on 2006-09-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Atlanta Physical Therapy Clinic, Inc. last refreshed?
The information related to the Atlanta Physical Therapy Clinic, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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