Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT007509 | GA |
N | 2251E1200X | Ergonomics | PT007509 | GA |
N | 225XE1200X | Ergonomics | PT007509 | GA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT007509 | GA |
N | 2251N0400X | Physical Therapist - Neurology | PT007509 | GA |
Y | 2251X0800X | Physical Therapist - Orthopedic | PT007509 | GA |
NPI | 1891779765 |
---|---|
Provider Name | Dr. Ruth M Maher |
First Address | Acworth, GA 30102-7964 |
Second Address | Dahlonega, GA 30533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 25/09/2010 |