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Independent Physical Therapy Of Ga, LLC

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

NPI number1477078699
StatusActive
Last updated in NPPESAug 9, 2017

Details

NPI
1477078699
Entity type
Organization (NPI-2)
Legal business name
Independent Physical Therapy Of Ga, LLC
Organization subpart
No
Enumeration date
Aug 9, 2017
Last updated
Aug 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––

Other names

  • Benchmark Pt - Lagrange (Other Name)

Practice location

112 Kia Dr Ste B
Lagrange, GA 30241-3731

Phone 706-668-6336 · Fax 706-668-6033

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564

Authorized official

Kevin Johanneson
Vp Revenue Cycle
4232383220

Is something wrong?

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Other Physical Therapist providers in Lagrange, GA

All 31 Physical Therapist providers in Lagrange · All 1,064 providers in Lagrange

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