MEDICARE: WOMEN FIRST REHABILITATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT008248

General Provider Information

NPI Number	:	1225365232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN FIRST REHABILITATION

Provider Business Mailing Address
First Line	:	3233 S CHEROKEE LN BLDG 1000
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-4461
Country	:	US
Telephone Number	:	770-485-7411
Fax Number	:	770-881-8506

Provider Business Practice Location Address
First Line	:	3233 S CHEROKEE LN BLDG 1000
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-4461
Country	:	US
Telephone Number	:	770-485-7411
Fax Number	:	770-881-8506

Authorized Official
Title or Position	:	CEO / PHYSICAL THERAPIST
Name	:	DR. SARA E BOLDEN
Credential	:	DPT
Telephone Number	:	770-485-7411

Provider Enumeration Date	:	11/11/2009
Last Update Date	:	03/19/2021

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Directions to “WOMEN FIRST REHABILITATION ” Practice Location

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