Organization
BODY G O A L S PHYSICAL THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUIANA T FLUELLEN DPT, CERT. DN (CEO/OWNER/DPT)
(678) 298-9484
Entity
Organization
Contact information
Practice address
875 OLD ROSWELL RD STE F100, ROSWELL, GA 30076-1658
(678) 871-6827
Mailing address
875 OLD ROSWELL RD STE F100, ROSWELL, GA 30076-1658
(678) 871-6827
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2017
Last updated
01/11/2019
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