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Exos - Athletes Performance Arizona LLC

Physical Therapist in Canton, GA. Organization (NPI-2).

NPI number1124845839
StatusActive
Last updated in NPPESSep 24, 2024

Details

NPI
1124845839
Entity type
Organization (NPI-2)
Legal business name
Exos - Athletes Performance Arizona LLC
Organization subpart
Yes
Enumeration date
Sep 24, 2024
Certification date
Sep 24, 2024
Last updated
Sep 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

190 Etowah Industrial Ct
Canton, GA 30114-8016

Phone 470-863-1160 · Fax 470-863-1161

Mailing address

190 Etowah Industrial Ct
Canton, GA 30114-8016

Phone 470-863-1160 · Fax 470-863-1161

Authorized official

James Godin
Director Of Physical Therapy
8134866847

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