Organization
SPINE & SPORT PHYSICAL THERAPY L P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRANCE W MCAFEE (CFO)
(713) 297-7000
Entity
Organization
Contact information
Practice address
203 WOODPARK PL, SUITE B220, WOODSTOCK, GA 30188-3738
(770) 591-8228
(770) 591-8119
Mailing address
203 WOODPARK PL, SUITE B220, WOODSTOCK, GA 30188-3705
(770) 951-8228
(770) 591-8119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
07/19/2011
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