Provider Demographics
NPI:1750501912
Name:AMES, DEBORAH FRANCINE (PT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:FRANCINE
Last Name:AMES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:FRANCINE
Other - Last Name:AMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 8623
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31106-0623
Mailing Address - Country:US
Mailing Address - Phone:404-408-1584
Mailing Address - Fax:
Practice Address - Street 1:796 HIGHLAND TER NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-3410
Practice Address - Country:US
Practice Address - Phone:404-408-1584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0014612251H1200X
CHT 94100000142251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand