Independent Physical Therapy of Ga, LLC

NPI #1629431929 in Tyrone, Georgia

Provider Information

NPI Number
1629431929
Entity Type
Organization
Organization Name
Independent Physical Therapy of Ga, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Apr 4, 2016
Last Updated
Apr 4, 2016

Practice Location

Address
62 CARRIAGE OAKS DR
City
Tyrone
State
Georgia
ZIP Code
30290-1684
Phone
(770) 969-7166

Authorized Official

Name
KEVIN JOHANNESON
Title
VP REVENUE CYCLE
Phone
(423) 238-3220

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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