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Organization
PHYSICAL THERAPY PLUS, LLC
Active
Organization
PHYSICAL THERAPY PLUS, LLC
Active
Other names
LaFayette Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LATEFA TERRY P.T. (PHYSICAL THERAPIST/OWNER)
(423) 490-1295
Entity
Organization
Contact information
Practice address
120 W VILLANOW ST, LA FAYETTE, GA 30728-2463
(706) 638-5983
(706) 638-3612
Mailing address
120 W VILLANOW ST, LA FAYETTE, GA 30728-2463
(706) 638-5983
(706) 638-3612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005339
GA
2251X0800X
Orthopedic Physical Therapist
006870
GA
Other
Enumeration date
07/07/2006
Last updated
12/15/2011
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