Provider Demographics
NPI:1629717343
Name:DOBBS, AMY KATHLEEN (PT, DPT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:KATHLEEN
Last Name:DOBBS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 RESEARCH CT STE 450
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6660
Mailing Address - Country:US
Mailing Address - Phone:770-205-5551
Mailing Address - Fax:
Practice Address - Street 1:4343 SHALLOWFORD RD STE 630
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-5080
Practice Address - Country:US
Practice Address - Phone:770-449-5152
Practice Address - Fax:866-821-7683
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0158682251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics