Orthosport Physical Therapy LLC

NPI #1174501100 in Kennesaw, Georgia

Provider Information

NPI Number
1174501100
Entity Type
Organization
Organization Name
Orthosport Physical Therapy LLC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jan 9, 2006
Last Updated
Feb 7, 2008

Practice Location

Address
3450 ACWORTH DUE WEST RD NW
Address 2
SUITE 310
State
Georgia
ZIP Code
30144
Phone
(770) 974-7494

Authorized Official

Name
MRS. KIM E. CHASTAIN, P.T.
Title
FOUNDER AND CEO
Phone
(770) 974-7494

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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