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Onecare Physical Therapyand Sports Medicine

Community Health Worker in Lithonia, GA. Organization (NPI-2).

NPI number1689936494
StatusActive
Last updated in NPPESJun 8, 2012

Details

NPI
1689936494
Entity type
Organization (NPI-2)
Legal business name
Onecare Physical Therapyand Sports Medicine
Organization subpart
No
Enumeration date
Jun 8, 2012
Last updated
Jun 8, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker000392GAYes

Practice location

6146 Covington Hwy Ste A
Lithonia, GA 30058-8395

Phone 678-418-0066 · Fax 678-418-0122

Mailing address

6146 Covington Hwy Ste A
Lithonia, GA 30058-8395

Phone 678-418-0066 · Fax 678-418-0122

Authorized official

Claude W Mccants
Clinic Manager
6784180066

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