From The Ground Up Therapy And Wellness
Clinic/Center, Physical Therapy in Saint Marys, GA. Organization (NPI-2).
NPI number1164093803
StatusActive
Last updated in NPPESSep 2, 2021
Details
- NPI
- 1164093803
- Entity type
- Organization (NPI-2)
- Legal business name
- From The Ground Up Therapy And Wellness
- Organization subpart
- No
- Enumeration date
- Jul 4, 2021
- Certification date
- Sep 2, 2021
- Last updated
- Sep 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
2322 Osborne RdSaint Marys, GA 31558-9189
Phone 912-344-9644
Mailing address
468 Thoroughbred RdWoodbine, GA 31569-2679
Phone 912-674-6640
Authorized official
Hannah Johnson
Physical Therapist
9126746640
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