Candice Gibson in Atlanta - Physical Therapy Assistant

Candice Gibson - NPI 1932288602

Candice Gibson is a Physical Therapy Assistant in Atlanta, Georgia. Candice Gibson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Candice Gibson is 1932288602. The last update date is 2016-07-16.

Candice Gibson's current location address is 857 Collier Rd Nw Ste 1, Atlanta, Georgia. You can contact this provider via phone number 4044197760 and fax number 4043513977. The mailing address for Candice Gibson is 857 Collier Rd Nw Ste 1, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Candice Gibson
Address 857 Collier Rd Nw Ste 1, Atlanta, Georgia
Phone Number 4044197760
Fax Number 4043513977
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1932288602
Provider Enumeration Date 2006-11-03
Last Updated Date 2016-07-16

Provider Mailing Address Detail

Address 857 Collier Rd Nw Ste 1
City Atlanta
State Georgia (GA)
Post Code 303182544
Phone Number 4044197760
Fax Number 4043513977

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA002025
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PTA002025 GA STATE LISC NUMBER

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FAQs about Candice Gibson

What is the unique identification code assigned to Candice Gibson by the Centers for Medicare & Medicaid Services?

The Candice Gibson has been issued the NPI (National Provider Identifier) 1932288602. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Candice Gibson?

The Candice Gibson is physically situated at 857 Collier Rd Nw Ste 1, in the city of Atlanta, state of GA, with the postal code 303182544.

What is Candice Gibson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Candice Gibson's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1932288602 to Candice Gibson?

The Candice Gibson received its 1932288602 assignment from the Centers for Medicare & Medicaid Services on 2006-11-03.

As of what date were the details related to Candice Gibson most recently updated or revised?

The information pertaining to Candice Gibson, including its address, specialty, and other relevant details, was last updated or revised on 2016-07-16.

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