Independent Physical Therapy of Ga, LLC

NPI #1184145401 in Hoschton, Georgia

Provider Information

NPI Number
1184145401
Entity Type
Organization
Organization Name
Independent Physical Therapy of Ga, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Jun 28, 2017
Last Updated
Jun 28, 2017

Practice Location

Address
6055 HIGHWAY 124 W STE 110
State
Georgia
ZIP Code
30548-5534
Phone
(706) 654-2000

Authorized Official

Name
KEVIN JOHANNESON
Title
VP REVENUE CYCLE
Phone
(423) 238-7217

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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