Provider Demographics
NPI:1568531127
Name:BARRETT PEDIATRIC THERAPY, INC.
Entity Type:Organization
Organization Name:BARRETT PEDIATRIC THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:PRICE
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:404-403-8357
Mailing Address - Street 1:1145 WATER VIEW LN
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6873
Mailing Address - Country:US
Mailing Address - Phone:404-403-8357
Mailing Address - Fax:770-886-4418
Practice Address - Street 1:1145 WATER VIEW LN
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6873
Practice Address - Country:US
Practice Address - Phone:404-403-8357
Practice Address - Fax:770-886-4418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0071182251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty