Provider Demographics
NPI:1558670380
Name:ATKINSON, MARGARET ANNE (PTA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:3875 POST RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-5354
Mailing Address - Country:US
Mailing Address - Phone:678-965-2760
Mailing Address - Fax:678-947-4220
Practice Address - Street 1:3875 POST RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-5354
Practice Address - Country:US
Practice Address - Phone:678-965-2760
Practice Address - Fax:678-947-4220
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPTA002406225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant