Organization Name: | PSA HEALTHCARE |
NPI Number: | 1578628087 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESA ROBINSON (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 770 Baconsfield Dr Building 1 Macon |
State: | GA US |
Postal Code: | 312111400 |
Phone Number: | 4788412772 |
Fax Number: | 4788412644 |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 08/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT002435 |
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 |