Doctor Name: | MRS. PATTI G WELLS |
NPI Number: | 1003088287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT001951 |
Business Practice Address: | 1912 S Main St Moultrie, GA - 317686524 |
Business Phone Number: | 2299855684 |
Business Fax Number: | 2299853641 |
Mailing Address: | 1912 S Main St, MOULTRIE |
State: | GA |
Postal Code: | 317686524 |
Phone Number: | 2299855684 |
Fax Number: | 2299853641 |
NPI Enumeration Date: | 03/28/2008 |
NPI Last Update Date: | 03/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT001951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |