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Contact Information

RUDO A TAKAWIRA, PT
4595 CANTRELL RD
FLOWERY BRANCH, GA30542-3304
 Phone: 770-967-2070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RUDO A TAKAWIRA · (Female)

NPI Number 1104331206
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 12/11/2017
Last updated 03/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PT012671
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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