Organization
INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Active
Other names
Benchmark Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BARGANIER (CFO)
(205) 536-7602
Entity
Organization
Contact information
Practice address
3450 COBB PKWY NW STE 210, ACWORTH, GA 30101-8352
(770) 974-1978
(770) 974-1979
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
01/02/2013
Last updated
03/07/2023
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