West Cobb Physical Therapy

NPI #1417048885 in Powder Springs, Georgia

Provider Information

NPI Number: 1417048885
Entity Type: Organization
Organization Name: West Cobb Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Sep 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5041 DALLAS HWY STE C
Address 2: BUILDING 1 SUITE C
City: Powder Springs
State: Georgia
ZIP Code: 30127-6458
Phone: (770) 425-2151

Authorized Official

Name: MR. RICHARD DARIN DURELL, PT
Title: DIRECTORE
Phone: (770) 425-2151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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