Independent Physical Therapy Of Ga, LLC
Physical Therapist in Buford, GA. Organization (NPI-2).
NPI number1982114278
StatusActive
Last updated in NPPESOct 2, 2017
Details
- NPI
- 1982114278
- Entity type
- Organization (NPI-2)
- Legal business name
- Independent Physical Therapy Of Ga, LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2017
- Last updated
- Oct 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
3919 Carter Rd # ABuford, GA 30518-1628
Phone 888-628-5722 · Fax 888-629-8994
Mailing address
6397 Lee Hwy Ste 300Chattanooga, TN 37421-2564
Phone 423-238-7217 · Fax 423-238-3473
Authorized official
Kevin Johanneson
Vp Revenue Cycle
4232387217
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