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Organization
ON-SITE PHYSICAL THERAPY LLC
Active
Organization
ON-SITE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LEIGH KELLEY P.T. (PRESIDENT)
(404) 314-8441
Entity
Organization
Contact information
Practice address
1190 FORREST BLVD, DECATUR, GA 30030-4736
(404) 314-8441
(404) 289-3031
Mailing address
1190 FORREST BLVD, DECATUR, GA 30030-4736
(404) 314-8441
(404) 289-3031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5656
GA
Other
Enumeration date
03/23/2007
Last updated
03/13/2013
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