Innovation Therapy and Wellness, LLC

NPI #1750921284 in Vidalia, Georgia

Provider Information

NPI Number: 1750921284
Entity Type: Organization
Organization Name: Innovation Therapy and Wellness, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: INNOVATION THERAPY AND WELLNESS, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 13, 2020
Last Updated: Jan 13, 2020

Practice Location

Address: 401 E 1ST ST STE B
City: Vidalia
State: Georgia
ZIP Code: 30474-4624
Phone: (912) 403-3300

Authorized Official

Name: GLEN POSEY
Title: OWNER
Phone: (912) 403-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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