Healthcare Provider Details

I. General information

NPI: 1134284276
Provider Name (Legal Business Name): LINDA SINGLETON, PT AND ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 CAPRI DR
GAINESVILLE GA
30506-1752
US

IV. Provider business mailing address

295 CAPRI DR
GAINESVILLE GA
30506-1752
US

V. Phone/Fax

Practice location:
  • Phone: 770-536-1633
  • Fax: 770-536-0197
Mailing address:
  • Phone: 770-536-1633
  • Fax: 770-536-0197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number000224
License Number StateGA

VIII. Authorized Official

Name: MRS. LINDA H SINGLETON
Title or Position: PRESIDENT
Credential: P. T.
Phone: 770-536-1633