Provider Demographics
NPI:1598826273
Name:TORRES, JILL MCGEE (PT)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:MCGEE
Last Name:TORRES
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 1:251 GREENWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-3104
Mailing Address - Country:US
Mailing Address - Phone:404-936-2215
Mailing Address - Fax:404-371-8380
Practice Address - Street 1:114 NEW ST
Practice Address - Street 2:SUITE I-2
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-4132
Practice Address - Country:US
Practice Address - Phone:404-936-2215
Practice Address - Fax:404-371-8380
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT006509225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist