Judy Harper Hobby, PT

Individual provider Active NPI Physical Therapist · Fitzgerald, GA

NPI 1609948744 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1609948744
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
0001111 (GA)
Practice address
1194 W Roanoke Drive Ext
Fitzgerald, GA 31750-8468
Phone
(229) 423-5392
Fax
(229) 423-8281
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0001111GAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0001111 GA Yes

Addresses

Primary practice location

1194 W Roanoke Drive Ext
Fitzgerald, GA 31750-8468

Mailing address

1194 W Roanoke Drive Ext
Fitzgerald, GA 31750-8468
Phone (229) 423-5392

Other providers in Fitzgerald, GA

All providers in Fitzgerald, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.