Independent Physical Therapy of Ga, LLC

NPI #1730608431 in Marietta, Georgia

Provider Information

NPI Number: 1730608431
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 13, 2017
Last Updated: Sep 13, 2017

Practice Location

Address: 2100 ROSWELL RD STE 2124
City: Marietta
State: Georgia
ZIP Code: 30062-0874
Phone: (678) 402-6355

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
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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