Organization
PROMOTION PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA G PILZ MPT (OWNER PHYSICAL THERAPIST)
(770) 554-7977
Entity
Organization
Contact information
Practice address
3890 HIGHWAY 81 SOUTH, LOGANVILLE, GA 30052-3917
(770) 554-7977
(770) 554-4177
Mailing address
3890 HIGHWAY 81 SOUTH, LOGANVILLE, GA 30052-3917
(770) 554-7977
(770) 554-4177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65BBBRG
MEDICARE PIN
GA
01
—
821337
BLUE CROSS BLUE SHIELD
GA
01
—
DG3262
PALMETTO GBA
GA
Enumeration date
07/31/2006
Last updated
06/25/2008
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