Independent Physical Therapy of Ga, LLC

NPI #1508424250 in Statesboro, Georgia

Provider Information

NPI Number: 1508424250
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 29, 2019
Last Updated: May 29, 2019

Practice Location

Address: 840 BUCKHEAD DR STE C
City: Statesboro
State: Georgia
ZIP Code: 30458-2752
Phone: (912) 259-9355

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
Phone: (423) 238-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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