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Organization
IDEAL THERAPY REHABILITATIVE SERVICES II, LLC
Active
Organization
IDEAL THERAPY REHABILITATIVE SERVICES II, LLC
Active
Other names
Ideal Therapy II
Organization subpart
No
Provider details
NPI number
Authorized official
SAMSON SAINT-REMY (CEO)
(678) 626-1833
Entity
Organization
Contact information
Practice address
6572 RIVER PARK DR STE 101, RIVERDALE, GA 30274-2214
(678) 626-1833
(678) 626-1844
Mailing address
6572 RIVER PARK DR STE 101, RIVERDALE, GA 30274-2214
(678) 626-1833
(678) 626-1844
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
10/01/2019
Last updated
11/26/2024
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