Organization
PHYSIO LAB PHYSICAL THERAPY
Active
Parent organization
CORVIC GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORVIC GROUP LLC
Authorized official
SIMON VICTOR LLOYD WATSON (OWNER)
(478) 919-6835
Entity
Organization
Contact information
Practice address
107 PEACOCK DR, WARNER ROBINS, GA 31088-3637
(478) 919-6835
Mailing address
107 PEACOCK DR, WARNER ROBINS, GA 31088-3637
(478) 919-6835
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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