Doctor Name: | MS. JUDITH DEQUERA NEWTON |
NPI Number: | 1396919155 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT006119 |
Business Practice Address: | 1305 North St E Vidalia, GA - 304748624 |
Business Phone Number: | 9125374813 |
Business Fax Number: | 9125376238 |
Mailing Address: | 1020 Rock Springs Rd, UVALDA |
State: | GA |
Postal Code: | 304734334 |
Phone Number: | 9125946277 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2008 |
NPI Last Update Date: | 04/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT006119 |
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 |