Independent Physical Therapy of Ga LLC

NPI #1235742248 in Doraville, Georgia

Provider Information

NPI Number: 1235742248
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 28, 2020
Last Updated: Aug 28, 2020

Practice Location

Address: 6035 PEACHTREE RD STE C206
City: Doraville
State: Georgia
ZIP Code: 30360-3239
Phone: (423) 238-7217

Authorized Official

Name: KEVIN JOHANNESON
Title: CFO
Phone: (423) 238-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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