| Organization Name: | PEDIATRIC THERAPY INTERVENTIONS, INC |
| NPI Number: | 1255390928 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL DAVIS (CEO) |
| Mailing Address: | 2065 Mcdade Rd Hephzibah |
| State: | GA US |
| Postal Code: | 308154721 |
| Phone Number: | 7069517013 |
| Fax Number: | 7065926872 |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 09/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |