Lake Country Physical Therapy LLC

NPI #1548601909 in Eatonton, Georgia

Provider Information

NPI Number: 1548601909
Entity Type: Organization
Organization Name: Lake Country Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 15, 2013
Last Updated: Jul 15, 2013

Practice Location

Address: 121 SEBASTIAN DR
City: Eatonton
State: Georgia
ZIP Code: 31024-5750
Phone: (706) 473-2348

Authorized Official

Name: MR. CHARLES RICHARD EISELE, P.T.
Title: PHYSICAL THERAPIST
Phone: (706) 473-2348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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