Independent Physical Therapy of Ga LLC
NPI #1881184000 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1881184000
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy of Ga LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 14, 2018
- Last Updated
- May 14, 2018
Practice Location
- Address
- 2695 LEE RD
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-3356
- Phone
- (770) 693-9161
Authorized Official
- Name
- KEVIN JOHANNESON
- Title
- VP REVENUE CYCLE
- Phone
- (423) 238-2313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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