Ducktails Pediatric Therapy And Wellness in Martinez - Physical Therapy

Ducktails Pediatric Therapy And Wellness - NPI 1558477695

Ducktails Pediatric Therapy And Wellness is a Physical Therapy in Martinez, Georgia. Ducktails Pediatric Therapy And Wellness practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Ducktails Pediatric Therapy And Wellness is 1558477695. The last update date is 2021-05-18.

Ducktails Pediatric Therapy And Wellness's current location address is 103 Maple Drive, Martinez, Georgia. You can contact this provider via phone number 7063645262 and fax number 7063645263. The mailing address for Ducktails Pediatric Therapy And Wellness is 103 Maple Drive, Martinez, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ducktails Pediatric Therapy And Wellness
Address 103 Maple Drive, Martinez, Georgia
Phone Number 7063645262
Fax Number 7063645263
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Ross Amy
Telephone Number 7063645262

NPI Number Detail

NPI Number 1558477695
Provider Enumeration Date 2006-08-22
Last Updated Date 2021-05-18

Provider Mailing Address Detail

Address 103 Maple Drive
City Martinez
State Georgia (GA)
Post Code 30907
Phone Number 7063645262
Fax Number 7063645263

Provider's Primary Taxonomy Detail

Speciality Physical Therapy
Taxonomy 261Qp2000X
Licence No PT004423
Definition:
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000717274C GA --
000767456C GA --

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FAQs about Ducktails Pediatric Therapy And Wellness

What is the unique provider identifier assigned to Ducktails Pediatric Therapy And Wellness?

The Ducktails Pediatric Therapy And Wellness has been issued the NPI (National Provider Identifier) 1558477695 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Ducktails Pediatric Therapy And Wellness is located?

The Ducktails Pediatric Therapy And Wellness is situated at the following address: 103 Maple Drive, Martinez, GA, 30907.

What is Ducktails Pediatric Therapy And Wellness's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ducktails Pediatric Therapy And Wellness's specialized field of practice is Physical Therapy, and the corresponding taxonomy code that categorizes this area of specialization is 261Qp2000X.

On what date did the Ducktails Pediatric Therapy And Wellness receive its 1558477695 assignment from the Centers for Medicare & Medicaid Services?

The Ducktails Pediatric Therapy And Wellness was assigned its 1558477695 by the Centers for Medicare & Medicaid Services on 2006-08-22.

When was the information regarding Ducktails Pediatric Therapy And Wellness most recently updated?

The details pertaining to the Ducktails Pediatric Therapy And Wellness, including its address, specialty, and other relevant information, were last refreshed on 2021-05-18.

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