Lake Dow Physical Therapy, Inc.
LBN: Lake Dow Physical Therapy, Inc.
Lake Dow Physical Therapy, Inc. is an health care organization with primary practice located at 42 Old Jackson Rd , Mcdonough GA 30252-3029. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Lake Dow Physical Therapy, Inc. can be contacted via phone (678) 583-6345, or through Jedding, Kimberley M via phone (678) 583-6345.
Contact Information
Primary practice address
42 Old Jackson Rd
Mcdonough GA 30252-3029
Phone: (678) 583-6345
Fax: (678) 583-6346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT006775 | Georgia |
Profile Details
| NPI number | 1164690780 |
|---|---|
| LBN Legal business name | Lake Dow Physical Therapy, Inc. |
| DBA Doing business as | |
| Authorized official | Jedding, Kimberley M DPT, CEAS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 16th, 2008 |
| Last updated | Jun 17th, 2008 - about 17 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 | 1164690780 | NPPES |
| Georgia | Other | PT006775 | PT LISCENSE |
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