Letitia Wise, PTA
Physical Therapy Assistant in Carrollton, Georgia
1285153833- Practice location
- 2455 Oak Grove Church RD, Carrollton, GA 30117-9513
- Phone
- 770-834-1737
- Fax
- —
- Last updated
- September 14, 2017
Letitia Wise is a Physical Therapy Assistant based in Carrollton, GA. Letitia Wise practices in Carrollton, GA and has the professional credentials of PTA. The NPI Number for Letitia Wise is 1285153833 and holds a License No. 001912 (GA). The current practice location address for Letitia Wise is 2455 Oak Grove Church RD, Carrollton, GA 30117-9513 and can be reached out via phone at 770-834-1737.
Provider Profile Details
- NPI Number
- 1285153833
- Provider Name
- Letitia Wise
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2455 Oak Grove Church RD, Carrollton, GA 30117-9513
- Phone Number
- 770-834-1737
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 14, 2017
- Last Update Date
- September 14, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2455 Oak Grove Church RD
Carrollton, GA 30117-9513 - City
- Carrollton
- State
- Georgia
- Zip
- 30117-9513
- Phone Number
- 770-834-1737
Provider Business Mailing Address Details
- Address
- Po Box 5034
Kingshill, VI 00851-5034 - City
- Kingshill
- State
- VI
- Zip
- 00851-5034
- Phone Number
- 340-473-1688
License Information
- License Number
- 001912
- License State
- GA
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapy Assistants near Carrollton, GA
View all Physical Therapy Assistants in Carrollton →Frequently Asked Questions
What is the NPI number of Letitia Wise, PTA?
The NPI number of Letitia Wise, PTA is 1285153833. It was assigned on September 14, 2017 and is currently active in the NPPES registry.
What is the specialty of Letitia Wise, PTA?
Letitia Wise, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in GA under license number 001912.
Where does Letitia Wise, PTA practice?
The practice location is 2455 Oak Grove Church RD, Carrollton, GA 30117-9513. The office can be reached at 770-834-1737 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285153833 directly on the NPPES registry website.