Pediatric Thera Pea Services Of Georgia, LLC
Physical Therapist, Pediatrics in Dahlonega, GA. Organization (NPI-2).
NPI number1083204275
StatusActive
Last updated in NPPESApr 13, 2022
Details
- NPI
- 1083204275
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Thera Pea Services Of Georgia, LLC
- Organization subpart
- No
- Enumeration date
- Jan 21, 2021
- Certification date
- Apr 13, 2022
- Last updated
- Apr 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | – | – | Yes |
Practice location
670 Arrendale RdDahlonega, GA 30533-5128
Phone 706-344-9316
Mailing address
670 Arrendale RdDahlonega, GA 30533-5128
Authorized official
Haley While
Owner
7063449316
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatric Physical Therapist providers in Dahlonega, GA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.