Healthcare Provider Details

I. General information

NPI: 1134441041
Provider Name (Legal Business Name): THERAPY RESOURCE NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2010
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 GREER ST STE B
CORDELE GA
31015-1921
US

IV. Provider business mailing address

100 W UNION ST
VIENNA GA
31092-1055
US

V. Phone/Fax

Practice location:
  • Phone: 229-322-5880
  • Fax: 229-271-3760
Mailing address:
  • Phone: 229-322-5880
  • Fax: 229-273-9447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: BRIDGET TAYLOR HATHCOCK
Title or Position: OWNER
Credential: DPT
Phone: 229-322-5880