Organization
HIGHLAND PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BARRETT JR. PT (OWNER)
(678) 343-0084
Entity
Organization
Contact information
Practice address
4770 DESTITUTE WAY, GAINESVILLE, GA 30506-3197
(678) 343-0084
(678) 943-8235
Mailing address
4770 DESTITUTE WAY, GAINESVILLE, GA 30506-3197
(678) 343-0084
(678) 943-8235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004781
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000805285B
—
GA
Enumeration date
10/21/2013
Last updated
10/21/2013
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