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Organization
NEUROSPORT PHYSICAL THERAPY@ELLARD LLC.
Active
Organization
NEUROSPORT PHYSICAL THERAPY@ELLARD LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MORIAH MORGAN (REGIONAL OFFICE MANAGER)
(770) 321-0155
Entity
Organization
Contact information
Practice address
8400 HOLCOMB BRIDGE RD, SUITE 480, ALPHARETTA, GA 30022-1837
(770) 640-5470
(770) 640-5471
Mailing address
8400 HOLCOMB BRIDGE RD, SUITE 480, ALPHARETTA, GA 30022-1837
(770) 640-5470
(770) 640-5471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003709
GA
Other
Enumeration date
04/17/2008
Last updated
09/29/2011
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