Independent Physical Therapy of Ga LLC

NPI #1003440033 in Canton, Georgia

Provider Information

NPI Number
1003440033
Entity Type
Organization
Organization Name
Independent Physical Therapy of Ga LLC
Primary Specialty
Physical Therapist
Enumeration Date
Feb 28, 2020
Last Updated
Mar 23, 2020

Practice Location

Address
3725 SIXES RD STE 105
City
Canton
State
Georgia
ZIP Code
30114-8961
Phone
(770) 213-7257

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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