Doctor Name: | AMY WELLINGTON |
NPI Number: | 1467780007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | |
Business Practice Address: | 1960 Riverside Pkwy Suite 104 Lawrenceville, GA - 300435945 |
Business Phone Number: | 7705138363 |
Business Fax Number: | 7705138741 |
Mailing Address: | 1960 Riverside Pkwy, Suite 104 LAWRENCEVILLE |
State: | GA |
Postal Code: | 300435945 |
Phone Number: | 7705138363 |
Fax Number: | 7705138741 |
NPI Enumeration Date: | 11/19/2009 |
NPI Last Update Date: | 11/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
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 |