Independent Physical Therapy, LLC
NPI #1124363304 in Douglasville, Georgia
Provider Information
- NPI Number
- 1124363304
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Nov 29, 2012
- Last Updated
- Feb 14, 2013
Practice Location
- Address
- 2750 CHAPEL HILL RD STE 1200
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-1721
- Phone
- (678) 981-6290
Authorized Official
- Name
- MARVETTE WALLACE
- Title
- DIRECTOR OF CONTRACT MANAGMENT
- Phone
- (423) 238-7217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Clinic/Center - Occupational Medicine — Occupational Medicine |
| Clinic/Center - Physical Therapy — Physical Therapy |
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