Justin Bae, DPT
Physical Therapist in Suwanee, GA. Individual provider (NPI-1).
NPI number1295617041
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1295617041
- Entity type
- Individual (NPI-1)
- Name
- Justin Bae
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2025
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT017833 | GA | Yes |
Practice location
3420 Paddocks PkwySuwanee, GA 30024-9120
Phone 470-295-6262 · Fax 470-300-8482
Mailing address
3420 Paddocks PkwySuwanee, GA 30024-9120
Phone 470-295-6262 · Fax 470-300-8482
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