Organization · Type 2 NPI
Our Therapy Place, LLC
Pediatric Physical Therapist · Rincon, GA
Practice location
402 Stephanie Ave
Rincon, GA 31236-9692
Fax (912) 785-2788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT12329 (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 1770073272
Our Therapy Place, LLC's National Provider Identifier is 1770073272, issued on May 10, 2018. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Rincon, GA. The record was last updated on May 10, 2018.