Organization
ALL HEALTH PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNE SOMERVILLE REPASKY PT (CEO)
(770) 493-6360
Entity
Organization
Contact information
Practice address
2185 NORTHLAKE PKWY STE 100, TUCKER, GA 30084-4100
(770) 493-6360
Mailing address
2185 NORTHLAKE PKWY STE 100, TUCKER, GA 30084-4100
(770) 493-6360
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT002211
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT004816
STATE LICENSE
GA
Enumeration date
05/08/2013
Last updated
05/08/2013
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