Doctor Name: | MICHAEL BRANDON ROSS |
NPI Number: | 1164883831 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT012259 |
Business Practice Address: | 2709 Meredyth Dr Albany, GA - 317070222 |
Business Phone Number: | 2293125000 |
Business Fax Number: | 2293125005 |
Mailing Address: | 500 W 3rd Ave, Ste 101 ALBANY |
State: | GA |
Postal Code: | 317011985 |
Phone Number: | 2293125800 |
Fax Number: | 2293125853 |
NPI Enumeration Date: | 03/09/2016 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT012259 |
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 |