Independent Physical Therapy of Ga LLC

NPI #1679088975 in Augusta, Georgia

Provider Information

NPI Number: 1679088975
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 8, 2017
Last Updated: Jan 10, 2023

Practice Location

Address: 254 ROBERT C DANIEL JR PKWY STE 4B
City: Augusta
State: Georgia
ZIP Code: 30909-0812
Phone: (706) 723-5795

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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