Independent Physical Therapy of Georgia, LLC

NPI #1992983993 in Buford, Georgia

Provider Information

NPI Number: 1992983993
Entity Type: Organization
Organization Name: Independent Physical Therapy of Georgia, LLC
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Feb 1, 2008
Last Updated: Jun 25, 2010

Practice Location

Address: 3425 BUFORD DR STE 300
City: Buford
State: Georgia
ZIP Code: 30519-8785
Phone: (770) 945-1045

Authorized Official

Name: TROY BAGE
Title: PRESIDENT
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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