Organization Name: | ON-SITE PHYSICAL THERAPY LLC |
NPI Number: | 1083731368 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA LEIGH KELLEY (PRESIDENT) |
Mailing Address: | 1190 Forrest Blvd Decatur |
State: | GA US |
Postal Code: | 300304736 |
Phone Number: | 4043148441 |
Fax Number: | 4042893031 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 03/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5656 |
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 |