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Organization

NEUROSPORT PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKKI HANLEY (HUMAN RESOURCE MANAGER)
(770) 321-0155
Entity
Organization

Contact information

Practice address
1163 JOHNSON FERRY RD STE 100, MARIETTA, GA 30068-2764
(770) 321-0155
Mailing address
1163 JOHNSON FERRY RD STE 100, MARIETTA, GA 30068-2764
(770) 321-0155

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
04/08/2015
Last updated
04/08/2015
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