MEDICARE: DONNA J FOLDEN PT

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	225100000X	Physical Therapist	000980	GA

General Provider Information

NPI Number	:	1427254630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA J FOLDEN PT

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:
City	:	WARM SPRINGS
State	:	GA
Zip	:	31830-1000
Country	:	US
Telephone Number	:	706-655-5126
Fax Number	:

Provider Business Practice Location Address
First Line	:	6135 ROOSEVELT HIGHWAY
Second Line	:
City	:	WARM SPRINGS
State	:	GA
Zip	:	31830-1000
Country	:	US
Telephone Number	:	706-655-5126
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	07/08/2007

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