Organization
INDEPENDENT PHYSICAL THERAPY OF GEORGIA , LLC
Active
Other names
BenchMark Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BARGANIER (CFO)
(205) 536-7602
Entity
Organization
Contact information
Practice address
785 SHUGART RD STE 10, DALTON, GA 30720-2478
(706) 226-0816
(706) 226-9584
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/16/2006
Last updated
06/28/2021
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