Independent Physical Therapy of Ga LLC

NPI #1619524816 in Leesburg, Georgia

Provider Information

NPI Number
1619524816
Entity Type
Organization
Organization Name
Independent Physical Therapy of Ga LLC
Primary Specialty
Physical Therapist
Enumeration Date
Aug 22, 2019
Last Updated
Aug 30, 2019

Practice Location

Address
1204 US 19 S STE B
State
Georgia
ZIP Code
31763-5982
Phone
(229) 496-2342

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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