Organization Name: | PHYSICAL THERAPY PLUS, LLC |
NPI Number: | 1518999028 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LATEFA TERRY (PHYSICAL THERAPIST/OWNER) |
Mailing Address: | 120 W Villanow St La Fayette |
State: | GA US |
Postal Code: | 307282463 |
Phone Number: | 7066385983 |
Fax Number: | 7066383612 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 12/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 006870 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |