Provider Demographics
NPI:1649470105
Name:ABRAMS-CARDOZA, GENA M (PT)
Entity type:Individual
Prefix:
First Name:GENA
Middle Name:M
Last Name:ABRAMS-CARDOZA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:GENA
Other - Middle Name:M
Other - Last Name:ABRAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:6849 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:BLDG. B1, STE.102
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-1610
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11 UPPER RIVERDALE RD SW
Practice Address - Street 2:6TH FLOOR
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2615
Practice Address - Country:US
Practice Address - Phone:770-897-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT005526225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist