Independent Physical Therapy of Ga, LLC
NPI #1023489432 in St Simons Island, Georgia
Provider Information
- NPI Number
- 1023489432
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy of Ga, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 12, 2015
- Last Updated
- Oct 12, 2015
Practice Location
- Address
- 20 MARKET ST STE 102
- City
- St Simons Island
- State
- Georgia
- ZIP Code
- 31522-1986
- Phone
- (912) 634-5885
Authorized Official
- Name
- KEVIN JOHANNESON
- Title
- VP REVENUE CYCLE
- Phone
- (423) 238-8923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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