Organization Name: | WEST COBB PHYSICAL THERAPY |
NPI Number: | 1417048885 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD DARIN DURELL (DIRECTORE) |
Mailing Address: | 5041 Dallas Hwy Ste C Building 1 Suite C Powder Springs |
State: | GA US |
Postal Code: | 301276458 |
Phone Number: | 7704252151 |
Fax Number: | 7704255982 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT007058 |
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 |