Provider Demographics
NPI:1225365232
Name:WOMEN FIRST REHABILITATION
Entity Type:Organization
Organization Name:WOMEN FIRST REHABILITATION
Other - Org Name:ATLANTA PELVIC REHABILITATION SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:770-485-7411
Mailing Address - Street 1:3233 S CHEROKEE LN BLDG 1000
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-4461
Mailing Address - Country:US
Mailing Address - Phone:770-485-7411
Mailing Address - Fax:770-881-8506
Practice Address - Street 1:3233 S CHEROKEE LN BLDG 1000
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-4461
Practice Address - Country:US
Practice Address - Phone:770-485-7411
Practice Address - Fax:770-881-8506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PT0082482251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty