Independent Physical Therapy of Ga, LLC

NPI #1578149555 in Greensboro, Georgia

Provider Information

NPI Number: 1578149555
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 22, 2021
Last Updated: Mar 22, 2021

Practice Location

Address: 6183 LAKE OCONEE PKWY
City: Greensboro
State: Georgia
ZIP Code: 30642-3823
Phone: (762) 445-1940

Authorized Official

Name: BRYAN BARGANIER
Title: CFO
Phone: (205) 536-7602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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