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Organization

PROACTIVE REHAB, INC

Active
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Organization

PROACTIVE REHAB, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH POWELL PT (PHYSICAL THERAPIST)
(770) 320-7840
Entity
Organization

Contact information

Practice address
50 LAWRENCEVILLE STREET, SUITE 100, MCDONOUGH, GA 30252
(770) 320-7840
Mailing address
50 LAWRENCEVILLE STREET, SUITE 100, MCDONOUGH, GA 30252

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/10/2011
Last updated
10/10/2011
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