| Doctor Name: | MR. JUSTIN TAYLOR GORRELL |
| NPI Number: | 1104112408 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.T |
| License Number: | PT010253 |
| Business Practice Address: | 3540 Cobb Pkwy Nw Ste 200 Acworth, GA - 301014178 |
| Business Phone Number: | 6785016300 |
| Business Fax Number: | 6783843318 |
| Mailing Address: | Po Box 242278, MONTGOMERY |
| State: | AL |
| Postal Code: | 361242278 |
| Phone Number: | 3343963273 |
| Fax Number: | 3343964905 |
| NPI Enumeration Date: | 06/24/2011 |
| NPI Last Update Date: | 06/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT010253 |
| 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 |