Healthcare Provider Details
I. General information
NPI: 1053309237
Provider Name (Legal Business Name): TURNINGPOINT BREAST CANCER REHABILITATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/11/2005
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8010 ROSWELL RD SUITE 120
ATLANTA GA
30350-7024
US
IV. Provider business mailing address
8010 ROSWELL RD SUITE 120
ATLANTA GA
30350-7024
US
V. Phone/Fax
- Phone: 770-360-9271
- Fax: 770-360-9276
- Phone: 770-360-9271
- Fax: 770-360-9276
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | PT003549 |
| License Number State | GA |
VIII. Authorized Official
Name:
LOIS
RUSCO
Title or Position: OWNER
Credential:
Phone: 770-360-9271