Provider Demographics
NPI:1982858643
Name:ATLANTA PHYSICAL THERAPY ASSOCIATES, INC
Entity Type:Organization
Organization Name:ATLANTA PHYSICAL THERAPY ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BURROWAY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:678-313-3872
Mailing Address - Street 1:3597 KESWICK DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-2003
Mailing Address - Country:US
Mailing Address - Phone:678-313-3872
Mailing Address - Fax:770-559-3974
Practice Address - Street 1:3597 KESWICK DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-2003
Practice Address - Country:US
Practice Address - Phone:678-313-3872
Practice Address - Fax:770-559-3974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency