Independent Physical Therapy Of Ga, LLC
Physical Therapist in Gainesville, GA. Organization (NPI-2).
NPI number1295242543
StatusActive
Last updated in NPPESJan 9, 2018
Details
- NPI
- 1295242543
- Entity type
- Organization (NPI-2)
- Legal business name
- Independent Physical Therapy Of Ga, LLC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2018
- Last updated
- Jan 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
885 Dawsonville Hwy Ste 1140Gainesville, GA 30501-2642
Phone 678-943-8691 · Fax 678-943-8709
Mailing address
6397 Lee Hwy Ste 300Chattanooga, TN 37421-2564
Authorized official
Kevin Johanneson
Vp Revenue Cycle
4232383220
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