Independent Physical Therapy of Ga, LLC

NPI #1558465914 in Commerce, Georgia

Provider Information

NPI Number: 1558465914
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga, LLC
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Sep 7, 2006
Last Updated: Aug 31, 2015

Practice Location

Address: 689 HOSPITAL RD
City: Commerce
State: Georgia
ZIP Code: 30529-1146
Phone: (706) 335-9300

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
Phone: (423) 238-8923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Occupational Therapist	225X00000X
Physical Therapist	225100000X
Speech-Language Pathologist	235Z00000X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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