Organization
ALPHARETTA THERAPY SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE M. DIFRAKHSH MPT (PHYSICAL THERAPIST)
(678) 983-5304
Entity
Organization
Contact information
Practice address
145 SABLE POINTE DR, ALPHARETTA, GA 30004-2773
(678) 983-5304
(770) 667-9940
Mailing address
145 SABLE POINTE DR, ALPHARETTA, GA 30004-2773
(678) 983-5304
(770) 667-9940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT007856
GA
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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