Provider Demographics
NPI:1376723239
Name:FURBISH, CATHY L (PT)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:L
Last Name:FURBISH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 ROSWELL ROAD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350
Mailing Address - Country:US
Mailing Address - Phone:770-360-9271
Mailing Address - Fax:770-360-9276
Practice Address - Street 1:8010 ROSWELL ROAD
Practice Address - Street 2:SUITE 120
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350
Practice Address - Country:US
Practice Address - Phone:770-360-9271
Practice Address - Fax:770-360-9276
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0034652251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic