Organization
BODYWELLNESS PHYSICAL THERAPY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON SMALL PT (CEO)
(404) 593-6405
Entity
Organization
Contact information
Practice address
1364 ARNOLD AVE NE, ATLANTA, GA 30324-4634
(404) 593-6405
(404) 486-0286
Mailing address
1364 ARNOLD AVE NE, ATLANTA, GA 30324-4634
(404) 593-6405
(404) 486-0286
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT007468
GA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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