Althea Tiggs Penn
Physical Therapist - Neurology
201 Lake Valley Dr
Loganville
, Georgia 30052-7883
Althea Tiggs Penn
Physical Therapist - Neurology
201 Lake Valley Dr
Loganville
, Georgia 30052-7883
(678) 957-6897
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Althea Tiggs Penn
- 201 Lake Valley Dr
- Loganville, GA
- Zip : 30052-7883
- Phone : (678) 957-6897
Second Address
- Althea Tiggs Penn
- 201 Lake Valley Dr
- Loganville, GA
- Zip : 30052-7883
- Phone : (678) 957-6897
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | PT003851 | GA |
National Provider Identifier
| NPI | 1184820797 |
|---|---|
| Provider Name | Althea Tiggs Penn |
| First Address | Loganville, GA 30052-7883 |
| Second Address | Loganville, GA 30052-7883 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.