Independent Physical Therapy of Ga, LLC

NPI #1407080740 in Jefferson, Georgia

Provider Information

NPI Number
1407080740
Entity Type
Organization
Organization Name
Independent Physical Therapy of Ga, LLC
Primary Specialty
Physical Therapist
Enumeration Date
May 14, 2009
Last Updated
Oct 19, 2017

Practice Location

Address
1689 OLD PENDERGRASS RD STE 300
State
Georgia
ZIP Code
30549-2716
Phone
(706) 387-0212

Authorized Official

Name
KEVIN JOHANNESON
Title
VP REVENUE CYCLE
Phone
(423) 238-8923

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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