Independent Physical Therapy of Ga LLC

NPI #1841831583 in Kathleen, Georgia

Provider Information

NPI Number
1841831583
Entity Type
Organization
Organization Name
Independent Physical Therapy of Ga LLC
Primary Specialty
Physical Therapist
Enumeration Date
Oct 3, 2019
Last Updated
Oct 3, 2019

Practice Location

Address
660 LAKE JOY RD STE D
State
Georgia
ZIP Code
31047
Phone
(478) 313-5385

Authorized Official

Name
KEVIN JOHANNESON
Title
VP REVNUE CYCLE
Phone
(423) 238-2313

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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