Organization
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Active
Other names
BenchMark Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BENETTO (CREDENTIALING MANAGER)
(423) 238-8923
Entity
Organization
Contact information
Practice address
2500 DALLAS HWY SW STE 520, MARIETTA, GA 30064-2664
(770) 422-5078
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/17/2014
Last updated
12/08/2023
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