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Deirdre Dolan Douglass, PT
Pediatric Physical Therapist in Conyers, Georgia
NPI 1598825747

Deirdre Dolan Douglass is a Pediatric Physical Therapist based in Conyers, GA and is specialized in Pediatrics. Deirdre Dolan Douglass practices in Conyers, GA and has the professional credentials of PT. The NPI Number for Deirdre Dolan Douglass is 1598825747 and holds a License No. PT003272 (Georgia).

The current practice location address for Deirdre Dolan Douglass is 586 Clubland Cir Se, Conyers, GA and can be reached out via phone at 770-785-7908 and via fax at 770-785-7908.

Location: 586 Clubland Cir Se, Conyers, GA, 30094-3626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598825747
Provider Name
Deirdre Dolan Douglass
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
586 Clubland Cir Se, Conyers, GA, 30094-3626
Phone Number
770-785-7908
Fax Number
770-785-7908
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
322094 05 GA
000711763B 05 GA
10057878 05 GA
institution
Provider Business Practice Location Address Details
Address
586 Clubland Cir Se
City
Conyers
State
Georgia
Zip
30094-3626
Phone Number
770-785-7908
Fax Number
770-785-7908
person
Provider Business Mailing Address Details
Address
586 Clubland Cir Se
City
Conyers
State
Georgia
Zip
30094-3626
Phone Number
770-785-7908
Fax Number
770-785-7908
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT003272 (Georgia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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