Independent Physical Therapy of Georgia, LLC

NPI #1124389887 in Lithonia, Georgia

Provider Information

NPI Number
1124389887
Entity Type
Organization
Organization Name
Independent Physical Therapy of Georgia, LLC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
May 30, 2012
Last Updated
Jun 5, 2012

Practice Location

Address
3007 PANOLA RD STE C
State
Georgia
ZIP Code
30038-2492
Phone
(770) 987-1122

Authorized Official

Name
KILEY RUSSELL
Title
MANAGER
Phone
(423) 238-8923

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center - RehabilitationRehabilitation
Clinic/Center - Physical TherapyPhysical Therapy

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