Organization Name: | ATLANTA BACK CLINIC - ORTHOPEDIC PHYS THERAPY & TRAINING CTR INC |
NPI Number: | 1467676924 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA ANN MAY (VICE PRESIDENT) |
Mailing Address: | 1841 Montreal Rd Suite 110 Tucker |
State: | GA US |
Postal Code: | 300845712 |
Phone Number: | 7704916004 |
Fax Number: | 7707230872 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 000897 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |