Provider Demographics
NPI:1871268607
Name:WOFFORD, ADRIA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ADRIA
Middle Name:
Last Name:WOFFORD
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 1:1138 OGILVIE DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-4723
Mailing Address - Country:US
Mailing Address - Phone:803-467-7207
Mailing Address - Fax:
Practice Address - Street 1:12201 HIGHWAY 92 STE C
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-7141
Practice Address - Country:US
Practice Address - Phone:470-632-8335
Practice Address - Fax:470-632-8327
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist