Provider Demographics
NPI:1942255773
Name:ONEILL, NANCY NELSON (PT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:NELSON
Last Name:ONEILL
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 1:1043 LENOX CRST NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-2769
Mailing Address - Country:US
Mailing Address - Phone:404-814-1923
Mailing Address - Fax:
Practice Address - Street 1:631 CAMPBELL HILL ST NW
Practice Address - Street 2:SUITE 200
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1301
Practice Address - Country:US
Practice Address - Phone:770-424-6787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT007267225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist