Independent Physical Therapy of Georgia, LLC

NPI #1669729067 in East Ellijay, Georgia

Provider Information

NPI Number: 1669729067
Entity Type: Organization
Organization Name: Independent Physical Therapy of Georgia, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 6, 2012
Last Updated: May 9, 2017

Practice Location

Address: 190 OLD ORCHARD SQ
City: East Ellijay
State: Georgia
ZIP Code: 30540-8172
Phone: (706) 273-3131

Authorized Official

Name: KEVIN JOHANNESON
Title: MANAGER
Phone: (423) 238-7217

Specialties & Taxonomy Codes

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

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