Individual provider · Type 1 NPI

Thea Elizabeth Jack, MPT, PCS

Pediatric Physical Therapist · Savannah, GA

NPI number 1336352079 Active

Practice location

10 Mall Ct Ste B
Savannah, GA 31406-3691

Call (912) 713-0277 Map

Fax (888) 429-3741

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT009479 (GA)
Pediatric Physical Therapist 2251P0200XQA01095200 (NJ)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1336352079

Thea Elizabeth Jack, MPT, PCS's National Provider Identifier is 1336352079, issued on May 8, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Savannah, GA. The record was last updated on Jul 31, 2020.