Independent Physical Therapy of Ga LLC

NPI #1578064754 in Lilburn, Georgia

Provider Information

NPI Number
1578064754
Entity Type
Organization
Organization Name
Independent Physical Therapy of Ga LLC
Primary Specialty
Physical Therapist
Enumeration Date
Feb 23, 2018
Last Updated
Feb 23, 2018

Practice Location

Address
4145 LAWRENCEVILLE HWY NW STE 8
State
Georgia
ZIP Code
30047-2807
Phone
(423) 123-4567

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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