IndividualActive
Deirdre Douglass, P.T.
NPI 1598825747 · Pediatric Physical Therapist · Conyers, GA
Provider details
- NPI number
- 1598825747
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT003272 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
586 Clubland Cir Se
Conyers, GA 30094-3626
Phone: (770) 785-7908
Fax: (770) 785-7908
Approximate (ZIP-level) locationGet directions
Mailing address
586 Clubland Cir Se
Conyers, GA 30094-3626
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2012-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.