Organization
ASC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOKASTA JONES (BUSINESS OFFICE MANAGER)
(678) 361-7973
Entity
Organization
Contact information
Practice address
2581 GRESHAM RD SE, ATLANTA, GA 30316-4147
(404) 464-8689
Mailing address
2581 GRESHAM RD SE, ATLANTA, GA 30316-4147
(404) 464-8689
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
10/29/2013
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