Organization
EAST COBB THERAPY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY B LASSITER P.Y. (MANAGER)
(404) 483-7168
Entity
Organization
Contact information
Practice address
2826 BACCURATE DR, MARIETTA, GA 30062-8711
(404) 483-7168
Mailing address
2826 BACCURATE DR, MARIETTA, GA 30062-8711
(404) 483-7168
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5580
GA
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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