Organization
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Active
Other names
BenchMark PT - Waycross
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BRYAN BARGANIER (CFO)
(205) 536-7602
Entity
Organization
Contact information
Practice address
2478 MEMORIAL DR, WAYCROSS, GA 31503-6336
(912) 285-1927
(912) 285-1929
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/16/2017
Last updated
07/01/2022
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