Basic Information
| Provider Information | |||||||||
| NPI: | 1841352804 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KERR | ||||||||
| FirstName: | JUDY | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | M.P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2500 HOSPITAL BLVD | ||||||||
| Address2: | SUITE 310 | ||||||||
| City: | ROSWELL | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300764907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7706649600 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11050 CRABAPPLE RD | ||||||||
| Address2: | SUITE 114D | ||||||||
| City: | ROSWELL | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300752489 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7706504055 | ||||||||
| FaxNumber: | 7706504453 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2006 | ||||||||
| LastUpdateDate: | 04/09/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT002588 | GA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.