Organization
ATLANTA SOUTH PHYSICAL THERAPY, INC.
Active
Organization
ATLANTA SOUTH PHYSICAL THERAPY, INC.
Active
Other names
Rehab South
Organization subpart
No
Provider details
NPI number
Authorized official
TROY BAGE (PRESIDENT)
(423) 238-7217
Entity
Organization
Contact information
Practice address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD7784
RAILROAD
GA
Enumeration date
06/02/2008
Last updated
06/02/2008
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