Independent Physical Therapy of Ga, LLC
NPI #1164699542 in Dawsonville, Georgia
Provider Information
- NPI Number
- 1164699542
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy of Ga, LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- May 14, 2008
- Last Updated
- Aug 31, 2015
Practice Location
- Address
- 78 DAWSON VILLAGE WAY N STE 230
- City
- Dawsonville
- State
- Georgia
- ZIP Code
- 30534-5642
- Phone
- (678) 865-8449
Authorized Official
- Name
- KEVIN JOHANNESON
- Title
- VP REVENUE CYCLE
- Phone
- (423) 238-8923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Clinic/Center - Physical Therapy — Physical Therapy |
| Clinic/Center - Rehabilitation — Rehabilitation |
| Physical Therapist |
| Speech-Language Pathologist |
| Occupational Therapist |
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