| Doctor Name: | MS. WICKY AGUDELO RIGOS |
| NPI Number: | 1417199423 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PTOO9509 |
| Business Practice Address: | 1013 Riverburch Pkwy Suite 4 Dalton, GA - 307218887 |
| Business Phone Number: | 8662618090 |
| Business Fax Number: | 7062267869 |
| Mailing Address: | 3275 Lennox Dr, MACON |
| State: | GA |
| Postal Code: | 312041054 |
| Phone Number: | 2306177772 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2009 |
| NPI Last Update Date: | 04/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PTOO9509 |
| 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 |