Provider Demographics
NPI:1982045605
Name:CORE THERAPY, LLC
Entity Type:Organization
Organization Name:CORE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:912-596-4020
Mailing Address - Street 1:9100 WHITE BLUFF RD STE 403
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4671
Mailing Address - Country:US
Mailing Address - Phone:912-335-9747
Mailing Address - Fax:912-239-4389
Practice Address - Street 1:9100 WHITE BLUFF RD STE 403
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4671
Practice Address - Country:US
Practice Address - Phone:912-335-9747
Practice Address - Fax:912-239-4389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT006285261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy