Provider Demographics
NPI:1124571013
Name:BARRETT, CATHLEEN PRICE (DPT)
Entity Type:Individual
Prefix:DR
First Name:CATHLEEN
Middle Name:PRICE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 WATER VIEW LN
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6873
Mailing Address - Country:US
Mailing Address - Phone:404-403-8357
Mailing Address - Fax:770-886-4418
Practice Address - Street 1:1145 WATER VIEW LN
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6873
Practice Address - Country:US
Practice Address - Phone:404-403-8357
Practice Address - Fax:770-886-4418
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT 0071182251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000913558FMedicaid