Provider Demographics
NPI:1851468078
Name:PARKWAY THERAPY SERVICES, INC. DBA EAST COBB PHYSICAL THERAPY
Entity Type:Organization
Organization Name:PARKWAY THERAPY SERVICES, INC. DBA EAST COBB PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:P
Authorized Official - Last Name:NIX
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:770-971-5244
Mailing Address - Street 1:3939 ROSWELL RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6251
Mailing Address - Country:US
Mailing Address - Phone:770-971-5244
Mailing Address - Fax:770-973-0586
Practice Address - Street 1:3939 ROSWELL RD
Practice Address - Street 2:SUITE 160
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6251
Practice Address - Country:US
Practice Address - Phone:770-971-5244
Practice Address - Fax:770-973-0586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty