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Organization
NORTH VALDOSTA THERAPY SERVICES INC
Active
Organization
NORTH VALDOSTA THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HALMAN BENNETT MPT (ADMINISTRATOR/OWNER)
(229) 219-0700
Entity
Organization
Contact information
Practice address
4611 TILLMAN BLUFF RD, VALDOSTA, GA 31602-4965
(229) 219-0700
(229) 219-0702
Mailing address
4611 TILLMAN BLUFF RD, VALDOSTA, GA 31602-4965
(229) 245-1048
(229) 219-0702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007616
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195254462B
—
GA
Enumeration date
07/17/2006
Last updated
05/21/2015
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