Provider Demographics
NPI:1790481125
Name:TORRANCE, CENNET S (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CENNET
Middle Name:S
Last Name:TORRANCE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300B US HIGHWAY 520
Mailing Address - Street 2:
Mailing Address - City:CUSSETA
Mailing Address - State:GA
Mailing Address - Zip Code:31805-3604
Mailing Address - Country:US
Mailing Address - Phone:706-890-8041
Mailing Address - Fax:706-890-8043
Practice Address - Street 1:300B US HIGHWAY 520
Practice Address - Street 2:
Practice Address - City:CUSSETA
Practice Address - State:GA
Practice Address - Zip Code:31805-3604
Practice Address - Country:US
Practice Address - Phone:706-890-8041
Practice Address - Fax:706-890-8043
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT016437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist