| Independent Physical Therapy, Llc | |
|
2295 Towne Lake Pkwy Ste 148 Woodstock GA 30189-5520 | |
| (770) 926-2744 | |
| (770) 926-2794 |
| Full Name | Independent Physical Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 2295 Towne Lake Pkwy Ste 148, Woodstock, Georgia |
| Authorized Official Name and Position | Marvette E Wallace (DIRECTOR OF CONTRACT MANAGEMENT) |
| Authorized Official Contact | 4232387217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Physical Therapy, Llc 8823 Production Ln Ooltewah TN 37363-6511 Ph: (423) 238-7217 | Independent Physical Therapy, Llc 2295 Towne Lake Pkwy Ste 148 Woodstock GA 30189-5520 Ph: (770) 926-2744 |
| NPI Number | 1851643944 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851643944 | NPI | - | NPPES |
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