Independent Physical Therapy of Ga LLC
NPI #1669855086 in Blue Ridge, Georgia
Provider Information
- NPI Number
- 1669855086
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy of Ga LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 2, 2015
- Last Updated
- Oct 17, 2017
Practice Location
- Address
- 980 E MAIN ST STE 300
- City
- Blue Ridge
- State
- Georgia
- ZIP Code
- 30513-7139
- Phone
- (706) 946-2035
Authorized Official
- Name
- KEVIN JOHANNESON
- Title
- VP REVENUE CYCLE
- Phone
- (423) 238-7217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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