Independent Physical Therapy of Georgia, LLC

NPI #1982859419 in Tucker, Georgia

Provider Information

NPI Number: 1982859419
Entity Type: Organization
Organization Name: Independent Physical Therapy of Georgia, LLC
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Nov 25, 2008
Last Updated: Sep 26, 2017

Practice Location

Address: 4404 HUGH HOWELL RD STE 18
City: Tucker
State: Georgia
ZIP Code: 30084-4916
Phone: (770) 493-5543

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
Phone: (423) 238-7217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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