Organization
INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Active
Organization
INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Active
Other names
Benchmark PT
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BARGANIER (CFO)
(423) 238-8923
Entity
Organization
Contact information
Practice address
3450 COBB PKWY NW STE 140, ACWORTH, GA 30101-8351
(770) 974-1978
(770) 974-1979
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/27/2010
Last updated
04/14/2021
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