Independent Physical Therapy of Ga, LLC

NPI #1952844318 in Suwanee, Georgia

Provider Information

NPI Number: 1952844318
Entity Type: Organization
Organization Name: Independent Physical Therapy of Ga, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 2, 2016
Last Updated: Dec 2, 2016

Practice Location

Address: 1000 PEACHTREE INDUSTRIAL BLVD
Address 2: STE 5
City: Suwanee
State: Georgia
ZIP Code: 30024-6737
Phone: (678) 482-9695

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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