DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUDO ALICE TAKAWIRA, PT

Active

RUDO ALICE TAKAWIRA, PT is a Physical Therapy Assistant healthcare provider located in FLOWERY BRANCH, Georgia. NPI 1104331206 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FLOWERY BRANCH, GA

Registration Details

NPI Number
1104331206
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2017 (8.4850420530906 yrs)
Last Updated
Mar 29, 2021
Licenses
PT012671 (GA)
PT012671 (GA)

Practice Information

Address
4595 CANTRELL RD
FLOWERY BRANCH, GA, 305423304
Browse GA providers · Browse ZIP 30542
Phone
7709672070
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in FLOWERY BRANCH, GA

Name Credential NPI
MS. SARAH MELISSA BATTEN P.T. 1669440897
JEREMY J ARKFELD P.T. 1841238847
MR. BRENDON BLAKE P.T. 1508804428
MRS. GINA RENEE BLAKE P.T. 1053596569
GAYLA K PRINCE PHYSICAL THERAPIST 1972755957
MR. JOHN L HOFFMAN III PT 1821340068
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.