Independent Physical Therapy of Ga LLC

NPI #1215599501 in Columbus, Georgia

Provider Information

NPI Number
1215599501
Entity Type
Organization
Organization Name
Independent Physical Therapy of Ga LLC
Primary Specialty
Physical Therapist
Enumeration Date
Jul 8, 2019
Last Updated
Jul 8, 2019

Practice Location

Address
1639 BRADLEY PARK DR STE C-2
State
Georgia
ZIP Code
31904-3620
Phone
(414) 222-4422

Authorized Official

Name
KEVIN JOHANNESON
Title
VP REVENUE CYCLE
Phone
(423) 238-2313

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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