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Organization
OCONEE REHABILITATION CONSULTANTS AND INDEPENDENT SERVICES
Active
Organization
OCONEE REHABILITATION CONSULTANTS AND INDEPENDENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BENTON P.T. (OWNER/PRESIDENT)
(706) 444-9200
Entity
Organization
Contact information
Practice address
446 SPRING STREET, SPARTA, GA 31087
(706) 444-9200
Mailing address
P. O. BOX 454, SPARTA, GA 31087
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
GA000823
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000574802C
—
GA
Enumeration date
07/15/2008
Last updated
07/15/2008
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