Independent Physical Therapy of Ga LLC

NPI #1538722012 in Alma, Georgia

Provider Information

NPI Number: 1538722012
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 19, 2019
Last Updated: Apr 19, 2019

Practice Location

Address: 804 S PIERCE ST
City: Alma
State: Georgia
ZIP Code: 31510-3506
Phone: (912) 632-2667

Authorized Official

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

Specialties & Taxonomy Codes

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

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