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Organization
SEJONG PHYSICAL THERAPY, INC
Active
Organization
SEJONG PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAE J KIM P.T (CEO/OWNER)
(678) 206-0808
Entity
Organization
Contact information
Practice address
1325 SATELLITE BLVD NW, STE.1302, SUWANEE, GA 30024-4651
(678) 206-0808
(678) 206-0809
Mailing address
1325 SATELLITE BLVD NW, STE.1302, SUWANEE, GA 30024-4651
(678) 206-0808
(678) 206-0809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008581
GA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360461626B
—
GA
Enumeration date
09/17/2007
Last updated
08/17/2010
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