Organization
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Active
Other names
BENCHMARK PT- HOLLY SPRINGS
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-7217
Entity
Organization
Contact information
Practice address
6768 HICKORY FLAT HWY, STE 110, CANTON, GA 30115-9376
(770) 721-5767
(770) 345-0158
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8923
(423) 954-7399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/11/2014
Last updated
10/11/2014
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