Customized Physical Therapy Services INC
NPI #1437481637 in Douglasville, Georgia
Provider Information
- NPI Number
- 1437481637
- Entity Type
- Organization
- Organization Name
- Customized Physical Therapy Services INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Feb 12, 2010
- Last Updated
- Mar 5, 2010
Practice Location
- Address
- 1398 VICTORIA ST
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30134-2661
- Phone
- (770) 485-2109
Authorized Official
- Name
- JUDE REGGIE VELEZ, PT
- Title
- CEO
- Phone
- (770) 485-2109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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