Pt Authority

NPI #1194417196 in Braselton, Georgia

Provider Information

NPI Number: 1194417196
Entity Type: Organization
Organization Name: Pt Authority
Primary Specialty: Physical Therapist
Enumeration Date: May 26, 2023
Last Updated: May 26, 2023

Practice Location

Address: 2128 TATUM CT
City: Braselton
State: Georgia
ZIP Code: 30517-2551
Phone: (404) 465-2421

Authorized Official

Name: MICHAEL CODY MALONE
Title: OWNER
Phone: (404) 465-2421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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