| Doctor Name: | AMY ATKINSON BERNAL |
| NPI Number: | 1053484808 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | PT006920 |
| Business Practice Address: | 976 Redstone Rd Dacula, GA - 300197415 |
| Business Phone Number: | 7709772345 |
| Business Fax Number: | 6783924401 |
| Mailing Address: | 976 Redstone Rd, DACULA |
| State: | GA |
| Postal Code: | 300197415 |
| Phone Number: | 7709772345 |
| Fax Number: | 6783924401 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT006920 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |