Organization
HOMETOWN ORTHOPEDIC AND SPORTS REHABILITATION LLC
Active
Other names
Hometown Ortho and Sports Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLYN WILSON DPT (OWNER)
(478) 550-3702
Entity
Organization
Contact information
Practice address
260 W CLINTON ST STE 2, GRAY, GA 31032-5464
(478) 550-3702
Mailing address
117 STONE EDGE DR, GRAY, GA 31032-5546
(478) 550-3702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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