Healthcare Provider Details

I. General information

NPI: 1174538607
Provider Name (Legal Business Name): DECATUR HAND AND PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 11/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 SAMS ST STE A
DECATUR GA
30030-4101
US

IV. Provider business mailing address

141 SAMS ST STE A
DECATUR GA
30030-4101
US

V. Phone/Fax

Practice location:
  • Phone: 404-296-8511
  • Fax: 404-296-8514
Mailing address:
  • Phone: 404-296-8511
  • Fax: 404-296-8514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: VP,AUTHORIZED OFFICIAL
Credential: JD
Phone: 713-297-7000