Organization
INDEPENDENT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BARGANIER (CFO)
(205) 536-7602
Entity
Organization
Contact information
Practice address
1124 N GATEWAY AVE, ROCKWOOD, TN 37854-4214
(865) 882-9183
(865) 882-9548
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/19/2012
Last updated
11/30/2021
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