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Mr. Bryan Joe Owen, PT
Pediatric Physical Therapist in Cedartown, Georgia
NPI 1942371273

Bryan Joe Owen is a Pediatric Physical Therapist based in Cedartown, GA and is specialized in Pediatrics. Bryan Joe Owen practices in Cedartown, GA and has the professional credentials of PT. The NPI Number for Bryan Joe Owen is 1942371273 and holds a License No. GA 004890 (Georgia).

The current practice location address for Bryan Joe Owen is 119 E Girard Ave, Cedartown, GA and can be reached out via phone at 770-855-0977 and via fax at 404-795-0690.

Location: 119 E Girard Ave, Cedartown, GA, 30125-4688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942371273
Provider Name
Bryan Joe Owen
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
119 E Girard Ave, Cedartown, GA, 30125-4688
Phone Number
770-855-0977
Fax Number
404-795-0690
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10036138 01 GA AMERIGROUP
330841 01 GA WELL CARE
institution
Provider Business Practice Location Address Details
Address
119 E Girard Ave
City
Cedartown
State
Georgia
Zip
30125-2711
Phone Number
770-855-0977
Fax Number
404-795-0690
person
Provider Business Mailing Address Details
Address
119 E Girard Ave
City
Cedartown
State
Georgia
Zip
30125-2711
Phone Number
770-855-0977
Fax Number
404-795-0690
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
GA 004890 (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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