Healthcare Provider Details

I. General information

NPI: 1609077833
Provider Name (Legal Business Name): ONSITE REHAB INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2007
Last Update Date: 04/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 HOWELL MILL RD NW SUITE B2
ATLANTA GA
30318-3167
US

IV. Provider business mailing address

1266 W PACES FERRY RD NW # 676
ATLANTA GA
30327-2306
US

V. Phone/Fax

Practice location:
  • Phone: 404-351-5432
  • Fax: 404-352-1917
Mailing address:
  • Phone: 404-351-5432
  • Fax: 770-937-9131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number000912
License Number StateGA

VIII. Authorized Official

Name: MRS. JANICE W BRAUNSTEIN
Title or Position: PRESIDENT
Credential: PT
Phone: 404-351-5432