Independent Physical Therapy of Ga, LLC

NPI #1629636238 in Augusta, Georgia

Provider Information

NPI Number: 1629636238
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 30, 2019
Last Updated: May 30, 2019

Practice Location

Address: 2215 TOBACCO RD STE A
City: Augusta
State: Georgia
ZIP Code: 30906-8112
Phone: (706) 755-2823

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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