Independent Physical Therapy of Georgia, LLC

NPI #1184908071 in Dacula, Georgia

Provider Information

NPI Number
1184908071
Entity Type
Organization
Organization Name
Independent Physical Therapy of Georgia, LLC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Oct 11, 2011
Last Updated
Oct 19, 2011

Practice Location

Address
3625 BRASELTON HWY STE 204
City
Dacula
State
Georgia
ZIP Code
30019-4695
Phone
(423) 238-7217

Authorized Official

Name
TROY D BAGE
Title
PRESIDENT
Phone
(423) 238-7217

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center - RehabilitationRehabilitation
Clinic/Center - Physical TherapyPhysical Therapy

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