Individual provider · Type 1 NPI
Susan Keith Justice, PT
Pediatric Physical Therapist · Villa Rica, GA
Practice location
2001 Church Dr
Villa Rica, GA 30180-4720
Fax (770) 943-7161
Mailing address
PO Box 921
Hiram, GA 30141-0921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT008045 (GA) |
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…
About NPI 1467676692
Susan Keith Justice, PT's National Provider Identifier is 1467676692, issued on Apr 12, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Villa Rica, GA. The record was last updated on Jul 8, 2007.