Rudo Alice Takawira
Physical Therapist Physical Therapist - Geriatrics
4595 Cantrell Rd
Flowery Branch
, Georgia 30542-3304
Rudo Alice Takawira
Physical Therapist Physical Therapist - Geriatrics
4595 Cantrell Rd
Flowery Branch
, Georgia 30542-3304
(214) 952-4605
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Rudo Alice Takawira
- 2376 Bransley Pl
- Duluth, GA
- Zip : 30097-4336
- Phone : (214) 952-4605
Second Address
- Rudo Alice Takawira
- 4595 Cantrell Rd
- Flowery Branch, GA
- Zip : 30542-3304
- Phone : (770) 967-2070
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT012671 | GA |
| N | 2251G0304X | Physical Therapist - Geriatrics | PT012671 | GA |
National Provider Identifier
| NPI | 1104331206 |
|---|---|
| Provider Name | Rudo Alice Takawira |
| First Address | Duluth, GA 30097-4336 |
| Second Address | Flowery Branch, GA 30542-3304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2017 |
| Last Update Date | 29/03/2021 |
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.