Independent Physical Therapy, LLC

NPI #1639552052 in Roswell, Georgia

Provider Information

NPI Number
1639552052
Entity Type
Organization
Organization Name
Independent Physical Therapy, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Jul 2, 2015
Last Updated
Jul 2, 2015

Practice Location

Address
540 W CROSSVILLE RD STE 203
State
Georgia
ZIP Code
30075-7524
Phone
(678) 585-0175

Authorized Official

Name
KEVIN JOHANNESON
Title
VP REVENUE CYCLE
Phone
(423) 238-8923

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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