Organization
G1 PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIWON LEE (DOCTOR OF PHYSICAL THERAPY)
(503) 901-9772
Entity
Organization
Contact information
Practice address
2103 BRASELTON HWY SUITE 190B, DACULA, GA 30019
(470) 238-3407
Mailing address
96 CANDLEWOOD LN, HOSCHTON, GA 30548-5554
(503) 901-9772
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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