Doctor Name: | JUSTINE RICHMOND |
NPI Number: | 1679982151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, LAT, ATC |
License Number: | PT011600 |
Business Practice Address: | 4555 N Shallowford Rd Dunwoody, GA - 303386407 |
Business Phone Number: | 4047786031 |
Business Fax Number: | |
Mailing Address: | 1740 Century Cir Ne Apt 1571, ATLANTA |
State: | GA |
Postal Code: | 303453057 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/08/2014 |
NPI Last Update Date: | 08/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT011600 |
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 |