Independent Physical Therapy of Ga, LLC
NPI #1508332537 in Eastanollee, Georgia
Provider Information
- NPI Number
- 1508332537
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy of Ga, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 17, 2018
- Last Updated
- Nov 6, 2018
Practice Location
- Address
- 210 WALMART WAY
- City
- Eastanollee
- State
- Georgia
- ZIP Code
- 30538-3803
- Phone
- (706) 282-1025
Authorized Official
- Name
- KEVIN JOHANNESON
- Title
- VP REVENUE CYCLE
- Phone
- (423) 238-2313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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