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Organization
SPINE & SPORT PHYSICAL THERAPY LP
Active
Organization
SPINE & SPORT PHYSICAL THERAPY LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAANNA P. KING JD (VP/AUTHORIZED OFFICIAL)
(713) 297-7000
Entity
Organization
Contact information
Practice address
3895 CHEROKEE ST NW, SUITE 612, KENNESAW, GA 30144-6727
(770) 422-3777
(770) 422-7799
Mailing address
1300 W SAM HOUSTON PKWY S, SUITE 300, HOUSTON, TX 77042-2447
(713) 297-7000
(713) 297-7090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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