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INTENSIVE THERAPY CENTER OF GEORGIA INC. NPI 1134459175


NPI Information

NPI: 1134459175
Provider Name: INTENSIVE THERAPY CENTER OF GEORGIA, INC.
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
545 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 377-2833
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INTENSIVE THERAPY CENTER OF GEORGIA, INC. is a pediatrics physical therapist in Lawrenceville, GA. The provider is 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. INTENSIVE THERAPY CENTER OF GEORGIA, INC. NPI is 1134459175. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

545 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE, GA
ZIP 30046-389
Phone: (678) 377-2833
Fax: (678) 377-2882

The provider's authorized official is Amie Locicero .
The authorized official title is President and has the following contact phone number (678) 377-2833.

The enumeration date for this NPI number is 1/13/2010 and was last updated on 1/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225XP0200XOccupational TherapistPediatricsNo
22251P0200XPhysical TherapistPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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