Provider Demographics
NPI:1346581915
Name:DOVE REHAB, LLC
Entity Type:Organization
Organization Name:DOVE REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:678-249-7120
Mailing Address - Street 1:PO BOX 674021
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30006-0068
Mailing Address - Country:US
Mailing Address - Phone:678-249-7120
Mailing Address - Fax:770-485-7173
Practice Address - Street 1:2848 LENOX RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-6004
Practice Address - Country:US
Practice Address - Phone:678-249-7120
Practice Address - Fax:770-485-7173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty