Organization Name: | PRECISION PHYSICAL THERAPY OF FAYETTE |
NPI Number: | 1700257755 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIRANDA M HENRY (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 480 Barrington Farms Pkwy Sharpsburg |
State: | GA US |
Postal Code: | 302771865 |
Phone Number: | 7069757435 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2015 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT010994 |
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 |