Doctor Name: | BRANTON RICE QUEEN |
NPI Number: | 1104859610 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT6042 |
Business Practice Address: | 100 Millbrook Village Dr Suite C Tyrone, GA - 302903603 |
Business Phone Number: | 6783649412 |
Business Fax Number: | 6783649413 |
Mailing Address: | Po Box 476, TYRONE |
State: | GA |
Postal Code: | 302900476 |
Phone Number: | 6783649412 |
Fax Number: | 6783649413 |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 06/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT6042 |
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 |