Dr. Nutta-On Blair
Physical Therapist - Neurology Physical Therapist - Pediatrics
6475 Jimmy Carter Blvd Ste 200
Norcross
, Georgia 30071-1734
Dr. Nutta-On Blair
Physical Therapist - Neurology Physical Therapist - Pediatrics
6475 Jimmy Carter Blvd Ste 200
Norcross
, Georgia 30071-1734
(414) 324-1176
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About
Features
Specialties
- Physical Therapist - Neurology
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Dr. Nutta-On Blair
- 315 Rolling Mist Ct
- Alpharetta, GA
- Zip : 30022-4405
- Phone : (414) 324-1176
Second Address
- Dr. Nutta-On Blair
- 6475 Jimmy Carter Blvd Ste 200
- Norcross, GA
- Zip : 30071-1734
- Fax : (770) 368-0164
- Phone : (770) 242-7744
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | PT013222 | GA |
| N | 2251N0400X | Physical Therapist - Neurology | PTL.0014385 | CO |
| N | 2251P0200X | Physical Therapist - Pediatrics | PT013222 | GA |
| N | 2251P0200X | Physical Therapist - Pediatrics | PTL.0014385 | CO |
National Provider Identifier
| NPI | 1508370453 |
|---|---|
| Provider Name | Dr. Nutta-On Blair |
| First Address | Alpharetta, GA 30022-4405 |
| Second Address | Norcross, GA 30071-1734 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2017 |
| Last Update Date | 29/11/2017 |
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.