Individual
VERNISHA BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1119 PRINCE AVENUE, ATHENS, GA 30606
(706) 475-7000
Mailing address
1119 PRINCE AVENUE, ATHENS, GA 30606
(706) 475-7000
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT011695
GA
Other
Enumeration date
07/06/2015
Last updated
07/21/2022
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