Independent Physical Therapy of Ga, LLC

NPI #1477078699 in Lagrange, Georgia

Provider Information

NPI Number
1477078699
Entity Type
Organization
Organization Name
Independent Physical Therapy of Ga, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Aug 9, 2017
Last Updated
Aug 9, 2017

Practice Location

Address
112 KIA DR STE B
State
Georgia
ZIP Code
30241-3731
Phone
(706) 668-6336

Authorized Official

Name
KEVIN JOHANNESON
Title
VP REVENUE CYCLE
Phone
(423) 238-3220

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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