Provider Demographics
NPI:1669196440
Name:EXPERT DOCTORS OF PHYSICAL THERAPY
Entity type:Organization
Organization Name:EXPERT DOCTORS OF PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OKEZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONUOHA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:678-532-7754
Mailing Address - Street 1:360 MCDONOUGH PKWY
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-8985
Mailing Address - Country:US
Mailing Address - Phone:678-532-7754
Mailing Address - Fax:
Practice Address - Street 1:360 MCDONOUGH PKWY
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-8985
Practice Address - Country:US
Practice Address - Phone:678-532-7754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy