Clarice Dewitt Marty in Fort Gordon - Physical Therapy Assistant
Clarice Dewitt Marty - NPI 1508031550
Clarice Dewitt Marty is a Physical Therapy Assistant in Fort Gordon, Georgia. Clarice Dewitt Marty practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Clarice Dewitt Marty is 1508031550. The last update date is 2008-04-29.
Clarice Dewitt Marty's current location address is 300 W Hospital Road, Fort Gordon, Georgia. You can contact this provider via phone number 7067872720 and fax number 7067878176. The mailing address for Clarice Dewitt Marty is 300 W Hospital Road, Fort Gordon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarice Dewitt Marty |
|---|---|
| Address | 300 W Hospital Road, Fort Gordon, Georgia |
| Phone Number | 7067872720 |
| Fax Number | 7067878176 |
| Sole Proprietor | Y |
| Credentials | LPTA |
NPI Number Detail
| NPI Number | 1508031550 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 300 W Hospital Road |
|---|---|
| City | Fort Gordon |
| State | Georgia (GA) |
| Post Code | 309055650 |
| Phone Number | 7067872720 |
| Fax Number | 7067878176 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | GA 799 |
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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 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clarice Dewitt Marty by the Centers for Medicare & Medicaid Services?
The Clarice Dewitt Marty has been issued the NPI (National Provider Identifier) 1508031550, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Clarice Dewitt Marty's facilities are situated?
The facilities of Clarice Dewitt Marty are physically located at the following address: 300 W Hospital Road, Fort Gordon, GA, 309055650.
What is the Clarice Dewitt Marty's area of specialization and corresponding taxonomy classification?
The Clarice Dewitt Marty's specialty field is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their specialties.
On what date did the Clarice Dewitt Marty receive its 1508031550 assignment from the Centers for Medicare & Medicaid Services?
The Clarice Dewitt Marty was assigned its 1508031550 by the Centers for Medicare & Medicaid Services on 2008-04-29.
When was the information pertaining to Clarice Dewitt Marty most recently updated or revised?
The details related to Clarice Dewitt Marty, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-29.