Independent Physical Therapy of Ga, LLC

NPI #1285155879 in Canton, Georgia

Provider Information

NPI Number: 1285155879
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 5, 2017
Last Updated: Jul 5, 2017

Practice Location

Address: 8012 CUMMING HWY STE 106
City: Canton
State: Georgia
ZIP Code: 30115-9338
Phone: (770) 224-6838

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
Phone: (423) 238-7217

Specialties & Taxonomy Codes

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

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