Organization
EMORY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L COOPER (AUTHORIZED OFFICIAL)
(219) 365-6560
Entity
Organization
Contact information
Practice address
487 WINN WAY, DECATUR, GA 30030-1735
(404) 251-2007
(404) 371-9112
Mailing address
PO BOX 102831, ATLANTA, GA 30368-2831
(404) 251-2007
(404) 371-9112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
08/26/2024
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