Independent Physical Therapy of Ga LLC

NPI #1023640752 in Bremen, Georgia

Provider Information

NPI Number: 1023640752
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 11, 2020
Last Updated: Feb 11, 2020

Practice Location

Address: 215 DAVIS BLVD
City: Bremen
State: Georgia
ZIP Code: 30110-2569
Phone: (770) 111-4455

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
Phone: (423) 238-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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