Organization
EAST ATHENS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M HINZMAN (OWNER)
(706) 369-8115
Entity
Organization
Contact information
Practice address
665 GAINES SCHOOL RD, ATHENS, GA 30605-3127
(706) 369-8115
Mailing address
665 GAINES SCHOOL RD, ATHENS, GA 30605-3127
(706) 369-8115
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT006968
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300044655A
—
GA
Enumeration date
06/16/2006
Last updated
06/27/2016
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