Provider Demographics
NPI:1316594849
Name:URUOWHE, FAITH (DPT)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:URUOWHE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:
Other - Last Name:KIRKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:335 UPPER RIVERDALE RD STE B10
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-1071
Mailing Address - Country:US
Mailing Address - Phone:770-907-5743
Mailing Address - Fax:
Practice Address - Street 1:335 UPPER RIVERDALE RD STE B10
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-1071
Practice Address - Country:US
Practice Address - Phone:770-907-5743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT014265225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist