Organization
PT AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY RIANNA VANDER POL P.T., M.S., D.P.T. (PHYSICAL THERAPIST/ OWNER)
(770) 540-2637
Entity
Organization
Contact information
Practice address
81 CROWN MOUNTAIN PL UNIT A300, DAHLONEGA, GA 30533-1619
(770) 540-2637
(706) 867-6859
Mailing address
81 CROWN MOUNTAIN PL UNIT A300, DAHLONEGA, GA 30533-1619
(770) 540-2637
(706) 867-6859
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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