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Organization
PRO PERFORMANCE THERAPY, LLC
Active
Organization
PRO PERFORMANCE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STILLINGS (DIRECTOR OF OPERATIONS)
(770) 449-5152
Entity
Organization
Contact information
Practice address
4343 SHALLOWFORD RD STE 630, MARIETTA, GA 30062-5080
(770) 449-5152
(866) 821-7683
Mailing address
4343 SHALLOWFORD RD STE 630, MARIETTA, GA 30062-5080
(770) 449-5152
(866) 821-7683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007576
GA
Other
Enumeration date
04/19/2007
Last updated
04/21/2021
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