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Organization
BIG GYM THERAPY, LLC
Active
Organization
BIG GYM THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE ROBERTSON MADDUX P.T. (MEMBER)
(678) 736-0724
Entity
Organization
Contact information
Practice address
4005 CANTON RD, MARIETTA, GA 30066-2739
(770) 728-8833
(678) 668-7469
Mailing address
4005 CANTON RD, MARIETTA, GA 30066-2739
(770) 728-8833
(678) 668-7469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
NULL
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
05/03/2013
Last updated
07/23/2025
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