NPI age
19 years
Enumerated 2006-10-03
Across 7225 active physical therapist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000879623A | |
| 01 (GA) | 58-1838574 | TAX PROVIDER NUMBER |
| 01 (GA) | ACS157060500 | OWCP PROVIDER NUMBER |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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