Organization
INDEPENDENT PHYSICAL THERAPY OF GA LLC
Active
Other names
Benchmark PT
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-7217
Entity
Organization
Contact information
Practice address
1615 STATE HIGHWAY 17 STE 9, YOUNG HARRIS, GA 30582-1880
(706) 896-2771
(706) 896-2772
Mailing address
8823 PRODUCTION LANE, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/07/2006
Last updated
10/03/2017
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