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Organization
VALDOSTA PHYSICAL THERAPY, INC
Active
Organization
VALDOSTA PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND JON KING MBA (ADMINISTRATOR)
(229) 247-5225
Entity
Organization
Contact information
Practice address
2109 N PATTERSON ST, SUITE A, VALDOSTA, GA 31602-2946
(229) 247-5225
(229) 241-8471
Mailing address
2109 N PATTERSON ST, SUITE A, VALDOSTA, GA 31602-2946
(229) 247-5225
(229) 241-8471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
GA
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
05/03/2007
Last updated
09/27/2007
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