| Doctor Name: | CAROLYN D GRATWICK |
| NPI Number: | 1750635116 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT003884 |
| Business Practice Address: | 5342 Tilly Mill Rd Dunwoody, GA - 303384426 |
| Business Phone Number: | 6788124031 |
| Business Fax Number: | 7703934374 |
| Mailing Address: | 2669 Osborne Rd Ne, ATLANTA |
| State: | GA |
| Postal Code: | 303198400 |
| Phone Number: | 4044777777 |
| Fax Number: | 4044777000 |
| NPI Enumeration Date: | 11/06/2012 |
| NPI Last Update Date: | 11/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PT003884 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |