Independent Physical Therapy of Georgia, LLC
NPI #1013292135 in Villa Rica, Georgia
Provider Information
- NPI Number
- 1013292135
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy of Georgia, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 20, 2011
- Last Updated
- Sep 20, 2017
Practice Location
- Address
- 921 MOORES FERRY RD STE D
- City
- Villa Rica
- State
- Georgia
- ZIP Code
- 30180-9700
- Phone
- (678) 840-8881
Authorized Official
- Name
- KEVIN JOHANNESON
- Title
- VP REVENUE CYCLE
- Phone
- (423) 238-7217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Clinic/Center - Rehabilitation — Rehabilitation |
| Clinic/Center - Physical Therapy — Physical Therapy |
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