Organization
COMPLETE BODY WELLNESS STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER LEE CARR PT (OWNER/PHYSICAL THERAPIST)
(770) 712-5955
Entity
Organization
Contact information
Practice address
11805 NORTHFALL LN STE 804, ALPHARETTA, GA 30009-7970
(770) 712-5955
(770) 889-0244
Mailing address
405 MILLERS CT, ALPHARETTA, GA 30004-2515
(770) 712-5955
(770) 889-0244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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