Organization
FUNCTION FORWARD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON COFER DPT (PHYSICAL THERAPIST)
(678) 327-8206
Entity
Organization
Contact information
Practice address
535 RIVERSTONE PKWY STE 208, CANTON, GA 30114-2566
(706) 383-9799
Mailing address
515 WATERFALL DR, CANTON, GA 30114-8857
(678) 327-8206
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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