P.T. Deirdre Dolan Douglass, NPI 1598825747
Pediatric Physical Therapist in Conyers, GA, US
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 | 1598825747 |
| NPI Entity Type | Individual |
| Provider Name | P.T. Deirdre Dolan Douglass |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 586 Clubland Cir Se, Conyers, GA, US |
| Provider Mailing Address | 586 Clubland Cir Se, Conyers, GA, US, 300943626 |
| Is Sole Proprietor? | Yes |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pediatric Physical Therapist |
| Classification | |
| Group |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| License No. | PT003272 |
| 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. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 322094 | GA | MEDICAID | 05 |
| 000711763B | GA | MEDICAID | 05 |
| 10057878 | GA | MEDICAID | 05 |
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