Organization
INNOVATIVE THERAPEUTIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANZIKA TULIVA PT, DPT (OWNER)
(818) 903-6647
Entity
Organization
Contact information
Practice address
360 PHARR RD NE APT 404, ATLANTA, GA 30305-2391
(818) 903-6647
Mailing address
360 PHARR RD NE APT 404, ATLANTA, GA 30305-2391
(818) 903-6647
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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