Ducktails Pediatric Therapy And Wellness
LBN: Ducktails Pediatric Therapy And Wellness
Ducktails Pediatric Therapy And Wellness is an health care organization with primary practice located at 568 Blue Ridge Dr , Evans GA 30809-3604. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
Ducktails Pediatric Therapy And Wellness can be contacted via phone (706) 364-5262, or through Ross, Amy via phone (706) 364-5262.
Contact Information
Primary practice address
568 Blue Ridge Dr
Evans GA 30809-3604
Phone: (706) 364-5262
Fax: (706) 364-5263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 003593 | Georgia |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | PT004118 | Georgia |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | PT008564 | Georgia |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | PT004423 | Georgia |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1558477695 |
|---|---|
| LBN Legal business name | Ducktails Pediatric Therapy And Wellness |
| DBA Doing business as | |
| Authorized official | Ross, Amy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | May 18th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558477695 | NPPES |
| Georgia | MEDICAID | 000717274C | |
| Georgia | MEDICAID | 000767456C |
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