Eagle Physical Therapy and Wellness

NPI #1720345820 in Conyers, Georgia

Provider Information

NPI Number: 1720345820
Entity Type: Organization
Organization Name: Eagle Physical Therapy and Wellness
Primary Specialty: Physical Therapist
Enumeration Date: Apr 13, 2012
Last Updated: Apr 13, 2012

Practice Location

Address: 1506 KLONDIKE RD SW
Address 2: SUITE 202
City: Conyers
State: Georgia
ZIP Code: 30094-5173
Phone: (404) 510-5007

Authorized Official

Name: ANUJ MASIH, MPT
Title: OWNER
Phone: (404) 510-5007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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