Independent Physical Therapy of Ga, LLC

NPI #1205280559 in Buford, Georgia

Provider Information

NPI Number: 1205280559
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 22, 2016
Last Updated: Apr 22, 2016

Practice Location

Address: 2815 BUFORD DR
Address 2: STE 102
City: Buford
State: Georgia
ZIP Code: 30519-8151
Phone: (770) 271-4413

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
Phone: (423) 238-3220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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