Independent Physical Therapy of Ga, LLC

NPI #1124424205 in Marietta, Georgia

Provider Information

NPI Number: 1124424205
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 17, 2014
Last Updated: Dec 8, 2023

Practice Location

Address: 2500 DALLAS HWY SW STE 520
City: Marietta
State: Georgia
ZIP Code: 30064-2664
Phone: (770) 422-5078

Authorized Official

Name: LISA BENETTO
Title: CREDENTIALING MANAGER
Phone: (423) 238-8923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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