Organization
EXCELARATE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONYA DENISE ROLAND (OWNER - PHYSICAL THERAPIST)
(678) 699-4036
Entity
Organization
Contact information
Practice address
216 HARRISON LN, BRUNSWICK, GA 31520-1959
(678) 699-4036
Mailing address
216 HARRISON LN, BRUNSWICK, GA 31520-1959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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