Doctor Name: | MARIE CARRERAS |
NPI Number: | 1093123358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT011526 |
Business Practice Address: | 365 S Industrial Blvd Calhoun, GA - 307013075 |
Business Phone Number: | 7066243000 |
Business Fax Number: | 7066243001 |
Mailing Address: | 365 S Industrial Blvd, CALHOUN |
State: | GA |
Postal Code: | 307013075 |
Phone Number: | 7066243000 |
Fax Number: | 7066243001 |
NPI Enumeration Date: | 07/30/2014 |
NPI Last Update Date: | 07/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT011526 |
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: |