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Organization

INDEPENDENT PHYSICAL THERAPY OF GA, LLC

Active
Other names
BenchMark PT - Savannah Victory
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-7217
Entity
Organization

Contact information

Practice address
1800 E VICTORY DR, STE 4A, SAVANNAH, GA 31404-4100
(912) 236-7020
(912) 236-7030
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
11/10/2016
Last updated
11/10/2016
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