Organization
PURE REHAB PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FARTHING DPT (OWNER)
(678) 685-7270
Entity
Organization
Contact information
Practice address
840 KENNESAW AVE NW STE 2, MARIETTA, GA 30060-7928
(678) 685-7270
(678) 503-2807
Mailing address
840 KENNESAW AVE NW STE 2, MARIETTA, GA 30060-7928
(678) 685-7270
(678) 503-2807
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
00076578
GA
Other
Enumeration date
08/24/2018
Last updated
06/11/2023
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