Independent Physical Therapy of Ga LLC
NPI #1003390295 in Powder Springs, Georgia
Provider Information
- NPI Number
- 1003390295
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy of Ga LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Sep 24, 2018
- Last Updated
- Sep 24, 2018
Practice Location
- Address
- 1050 RICHARD D SAILORS PKWY STE 1100
- City
- Powder Springs
- State
- Georgia
- ZIP Code
- 30127-5232
- Phone
- (123) 456-7896
Authorized Official
- Name
- KEVIN JOHANNESON
- Title
- VP REVENUE CYCLE
- Phone
- (423) 238-2313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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