| Organization Name: | TOCCOA PHYSICAL THERAPY, LLC |
| NPI Number: | 1124344114 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAY H WILLIAMS (CEO) |
| Mailing Address: | 1656 Falls Rd Toccoa |
| State: | GA US |
| Postal Code: | 305772411 |
| Phone Number: | 7706225344 |
| Fax Number: | 7706225388 |
| NPI Enumeration Date: | 04/15/2010 |
| NPI Last Update Date: | 04/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT000558 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |