NPI 1104900869

John Degenaro, PTA

Practitioner Physical Therapy Assistant Athens, GA

Practice location

Address: 1765 Old West Broad St, Athens, GA 30606-2853
Phone: (706) 549-1663
Fax: (706) 546-8792
Mailing address: 1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA000612 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1104900869
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2006
Record last updated: 8 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.