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Organization
SOVEREIGN REHABILITATION OF GEORGIA, LLC
Active
Organization
SOVEREIGN REHABILITATION OF GEORGIA, LLC
Active
Other names
Centers for Orthopedic Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN J GRODIN PT (PRESIDENT)
(404) 835-3340
Entity
Organization
Contact information
Practice address
5555 PEACHTREE DUNWOODY RD NE, SUITE 201, ATLANTA, GA 30342-1703
(404) 835-3340
(404) 207-1391
Mailing address
5555 PEACHTREE DUNWOODY RD NE, SUITE 201, ATLANTA, GA 30342-1703
(404) 835-3340
(404) 207-1391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001153
GA
225XH1200X
Hand Occupational Therapist
OT004558
GA
Other
Enumeration date
05/08/2007
Last updated
07/19/2008
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