Peggy Teague, NPI 1043371974
Pediatric Physical Therapist in Lawrenceville, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1043371974
NPI Entity Type Individual
Provider Name Peggy Teague
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA, US
Provider Mailing Address 1688 Lawrenceville Hwy, Lawrenceville, GA, US, 300444608
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2251P0200X

Taxonomy Name Pediatric Physical Therapist
Classification

Physical Therapist

Group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

License No. PT005740
License State GA
Description 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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

Business Address

Peggy Teague
1509 Atkinson Rd
Suite 1100

Lawrenceville, GA, US

Phone: 770-995-2379
Fax: 770-995-2385

Mailing Address

Peggy Teague
1688 Lawrenceville Hwy
Lawrenceville, GA, US
ZIP 300444608
Phone: 770-995-2379
Fax: 770-995-2385

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

174400000X

Other Service Providers

Specialist

PT005740 GA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
306072 GA MEDICAID 05
10037766 GA MEDICAID 05
000765817A GA MEDICAID 05

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