# ASC PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043647514
- **Authorized official:** YOKASTA JONES (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (678) 361-7973

## Contact information

- **Practice address:** 2581 GRESHAM RD SE, ATLANTA, GA 30316-4147
- **Practice address phone:** (404) 464-8689
- **Mailing address:** 2581 GRESHAM RD SE, ATLANTA, GA 30316-4147
- **Mailing address phone:** (404) 464-8689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | — | NULL | Yes |
| 2251S0007X | Sports Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2013
- **Last updated:** 10/29/2013