| Guided Motion, Llc | |
|
102 Russell Rd Roswell GA 30075-1147 | |
| (678) 431-7096 | |
| (678) 348-7334 |
| Full Name | Guided Motion, Llc |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 102 Russell Rd, Roswell, Georgia |
| Authorized Official Name and Position | Jann Allyn Jennelle (OWNER) |
| Authorized Official Contact | 6784317096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guided Motion, Llc 125 W Lake Dr Roswell GA 30075-1140 Ph: (678) 431-7096 | Guided Motion, Llc 102 Russell Rd Roswell GA 30075-1147 Ph: (678) 431-7096 |
| NPI Number | 1821367640 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 12/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821367640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MT003325 (Georgia) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | PT008547 (Georgia) | Primary |
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