Organization
CLASSIC CITY REHAB LLC
Active
Organization
CLASSIC CITY REHAB LLC
Active
Other names
Classic City Rehab LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIDHI PATEL PT, DPT, CERT-DN (CO-FOUNDER)
(706) 248-8706
Entity
Organization
Contact information
Practice address
184 TOWNS WALK DR, ATHENS, GA 30606-7986
(706) 424-5921
Mailing address
184 TOWNS WALK DR, ATHENS, GA 30606-7986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251N0400X
Neurology Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003331588
NON-MEDICARE
GA
01
—
1861973752
NON-MEDICARE
FL
Enumeration date
07/10/2020
Last updated
08/23/2020
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