Independent Physical Therapy

NPI #1104464908 in Chattanooga, Tennessee

Provider Information

NPI Number
1104464908
Entity Type
Organization
Organization Name
Independent Physical Therapy
Primary Specialty
Physical Therapist
Enumeration Date
Dec 12, 2019
Last Updated
Dec 12, 2019

Practice Location

Address
2380 LIFESTYLE WAY STE 132
ZIP Code
37421-4938
Phone
(423) 222-9999

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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