Healthcare Provider Details

I. General information

NPI: 1003417213
Provider Name (Legal Business Name): ALEXANDRIA DAWN HOBBS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 11/04/2020
Certification Date: 11/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 OSIGIAN BLVD STE 300
WARNER ROBINS GA
31088-8978
US

IV. Provider business mailing address

150 OSIGIAN BLVD STE 300
WARNER ROBINS GA
31088-8978
US

V. Phone/Fax

Practice location:
  • Phone: 478-333-3075
  • Fax: 478-333-3484
Mailing address:
  • Phone: 478-333-3075
  • Fax: 478-333-3484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT015041
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: