Peachtree Orthopaedic Clinic, P.a.

NPI #1497781942 in College Park, Georgia

Provider Information

NPI Number: 1497781942
Entity Type: Organization
Organization Name: Peachtree Orthopaedic Clinic, P.a.
Primary Specialty: Physical Therapist
Enumeration Date: Jun 25, 2006
Last Updated: Mar 17, 2008

Practice Location

Address: 1901 PHOENIX BLVD
Address 2: SUITE 120
City: College Park
State: Georgia
ZIP Code: 30349-5588
Phone: (404) 355-6548

Authorized Official

Name: GREG COOPER
Title: MANAGING PARTNER
Phone: (219) 365-6560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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