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Organization

LIFESPAN REHABILITATION AND WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH HARPER (OWNER)
(912) 414-1127
Entity
Organization

Contact information

Practice address
37 W FAIRMONT AVE, SUITE 323, SAVANNAH, GA 31406-3455
(912) 414-1127
Mailing address
143 SUMMER WINDS DR, SAVANNAH, GA 31410-2929
(912) 414-1127

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011190
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003137626
GA
Enumeration date
02/14/2017
Last updated
02/14/2017
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