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Developmental & Rehabilitative Services 2, INC

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

NPI number1578055307
StatusActive
Last updated in NPPESJun 16, 2018

Details

NPI
1578055307
Entity type
Organization (NPI-2)
Legal business name
Developmental & Rehabilitative Services 2, INC
Organization subpart
No
Enumeration date
Jun 6, 2018
Last updated
Jun 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT007234GAYes

Practice location

2395 Wall St Se Ste 176
Conyers, GA 30013-6703

Phone 770-679-1553 · Fax 866-666-4344

Mailing address

2395 Wall St Se Ste 176
Conyers, GA 30013-6703

Phone 770-679-1553 · Fax 866-666-4344

Authorized official

Denise Edwards
President/Ceo
7706791553

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