Onesource Sports Neuro Rehab

LBN: 1Source Fitness & Sports-Neuro Rehab Llc
Onesource Sports Neuro Rehab is an health care organization with primary practice located at 1670 Mckendree Church Rd Ste 40 , Lawrenceville GA 30043-4100. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. 1Source Fitness & Sports-Neuro Rehab Llc can be contacted via phone (678) 257-4037, or through Adu, Collin via phone (678) 257-4037.

Contact Information

Primary practice address
1670 Mckendree Church Rd Ste 40 Lawrenceville GA 30043-4100
Phone: (678) 257-4037
Fax: (678) 819-7536
Website:
Map and Directions
Authorized official contact:
Name: Adu, Collin DPT.MBA.FAAOMPT
Phone: (678) 257-4037

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT009750 Georgia

Profile Details

NPI number 1922379189
LBN Legal business name 1Source Fitness & Sports-Neuro Rehab Llc
DBA Doing business as Onesource Sports Neuro Rehab
Authorized official Adu, Collin DPT.MBA.FAAOMPT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2012
Last updated Mar 20th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922379189 NPPES
Georgia MEDICAID 00319995A

Popular Providers