Organization
MILTON PHYSICAL THERAPY, LLC
Active
Other names
Crabapple Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CHASTAIN DPT (OWNER)
(770) 826-0440
Entity
Organization
Contact information
Practice address
12220 BIRMINGHAM HWY, BLDG10 / STE C, MILTON, GA 30004-4186
(770) 826-0440
Mailing address
1410 WOOD DUCK RD, WOODSTOCK, GA 30188-4636
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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