| Ideal Therapy Ii | |
|
6572 River Park Dr Ste 101 Riverdale GA 30274-2214 | |
| (678) 626-1833 | |
| (678) 626-1844 |
| Full Name | Ideal Therapy Ii |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6572 River Park Dr Ste 101, Riverdale, Georgia |
| Authorized Official Name and Position | Corlette Alexis Luke-cambridge (CEO) |
| Authorized Official Contact | 4049947727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Therapy Ii 6572 River Park Dr Ste 101 Riverdale GA 30274-2214 Ph: (678) 626-1833 | Ideal Therapy Ii 6572 River Park Dr Ste 101 Riverdale GA 30274-2214 Ph: (678) 626-1833 |
| NPI Number | 1912548959 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912548959 | NPI | - | NPPES |
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