Independent Physical Therapy of Ga LLC

NPI #1144853508 in Milledgeville, Georgia

Provider Information

NPI Number: 1144853508
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 13, 2020
Last Updated: Feb 13, 2020

Practice Location

Address: 1958 N COLUMBIA ST
City: Milledgeville
State: Georgia
ZIP Code: 31061-2093
Phone: (478) 111-2233

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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