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Organization
PERFORMANCE PHYSICAL THERAPY, PC
Active
Organization
PERFORMANCE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT M POOLE PT (PRESIDENT)
(770) 506-6993
Entity
Organization
Contact information
Practice address
909 EAGLES LANDING PKWY STE 430, STOCKBRIDGE, GA 30281-6398
(770) 506-6993
(770) 506-6994
Mailing address
909 EAGLES LANDING PKWY, SUITE 430, STOCKBRIDGE, GA 30281-5011
(770) 506-6993
(770) 506-6994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002098
GA
Other
Enumeration date
03/20/2007
Last updated
03/17/2018
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