Mr. Ross Joseph Brakeville
Physical Therapist - Pediatrics
1816 Eagle Dr Building 100, Suite C
Woodstock
, Georgia 30189-8272
Mr. Ross Joseph Brakeville
Physical Therapist - Pediatrics
1816 Eagle Dr Building 100, Suite C
Woodstock
, Georgia 30189-8272
(678) 802-7377
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mr. Ross Joseph Brakeville
- 1816 Eagle Dr Building 100, Suite C
- Woodstock, GA
- Zip : 30189-8272
- Fax : (678) 802-7377
- Phone : (770) 516-9191
Second Address
- Mr. Ross Joseph Brakeville
- 1816 Eagle Dr Building 100, Suite C
- Woodstock, GA
- Zip : 30189-8272
- Fax : (678) 802-7377
- Phone : (770) 516-9191
Reviews
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Is Mr. Ross Joseph Brakeville a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 002536 | GA |
National Provider Identifier
| NPI | 1013997139 |
|---|---|
| Provider Name | Mr. Ross Joseph Brakeville |
| First Address | Woodstock, GA 30189-8272 |
| Second Address | Woodstock, GA 30189-8272 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2006 |
| Last Update Date | 25/02/2013 |
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.