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Organization
THERAPY CENTER NORTH INC
Active
Organization
THERAPY CENTER NORTH INC
Active
Other names
Therapy Center East
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SHOWALTER PT (OWNER & DIRECTOR)
(770) 388-9249
Entity
Organization
Contact information
Practice address
2080 EASTSIDE DR STE B, CONYERS, GA 30013-1953
(770) 388-9249
(770) 483-3350
Mailing address
2080 EASTSIDE DR STE B, CONYERS, GA 30013-1953
(770) 388-9249
(770) 483-3350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000649
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811930506
NPI
—
01
—
202G709390
PTAN
—
01
—
65BBBFV
GROUP PTAN
—
Enumeration date
12/31/2011
Last updated
09/19/2021
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