person
Ryan Jacob Boudreaux, PT,DPT
Neurology Physical Therapist in Atlanta, Georgia
NPI 1225437866

Ryan Jacob Boudreaux is a Neurology Physical Therapist based in Atlanta, GA and is specialized in Neurology. Ryan Jacob Boudreaux practices in Atlanta, GA and has the professional credentials of PT,DPT. The NPI Number for Ryan Jacob Boudreaux is 1225437866 and holds a License No. PT011641 (Georgia).

The current practice location address for Ryan Jacob Boudreaux is 1462 Clifton Rd Ne Ste 312, Atlanta, GA and can be reached out via phone at 404-727-4002.

Location: 1462 Clifton Rd Ne Ste 312, Atlanta, GA, 30308-1999
person
Provider Profile Details
NPI Number
1225437866
Provider Name
Ryan Jacob Boudreaux
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Male
Address
1462 Clifton Rd Ne Ste 312, Atlanta, GA, 30308-1999
Phone Number
404-727-4002
Fax Number
Provider Enumeration Date
08/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1462 Clifton Rd Ne Ste 312
City
State
Zip
30322-1000
Phone Number
404-727-4002
Fax Number
person
Provider Business Mailing Address Details
Address
1462 Clifton Rd Ne Ste 312
City
State
Zip
30322-1000
Phone Number
404-727-4002
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Neurology
Taxonomy
License No.
PT011641 (Georgia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
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