NPI 1346585551

Gregory White

Practitioner Physical Therapy Assistant Decatur, GA

Practice location

Address: 920 Clairmont Ave, Decatur, GA 30030-1201
Phone: (404) 377-6111
Mailing address: 97 Dahlgren St SE, Atlanta, GA 30317-1649

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA000628 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1346585551
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2012
Record last updated: 29 Nov 2012

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.