Bristol, Teresa
Bristol, Teresa is an individual health care provider with primary practice located at 1100 Peachtree St Nw Ne Suite 250, Atlanta GA 30309. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Bristol, Teresa can be contacted via phone (470) 733-2135.Contact Information
Primary practice address
1100 Peachtree St Nw Ne Suite 250
Atlanta GA 30309
Phone: (470) 733-2135
Fax: (855) 703-9473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT007043 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT007043 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT007043 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT007043 | Georgia |
Profile Details
| NPI number | 1053381400 |
|---|---|
| LBN Legal business name | Bristol, Teresa |
| Credentials | PT, CERT. DN, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Sep 20th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053381400 | NPPES |
| Georgia | MEDICAID | 003190988A | |
| Georgia | Other | 4620664 | |
| Georgia | Other | 05207111 | |
| Georgia | Other | 105338140-001 |
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