Organization
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Active
Other names
BenchMark PT
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCEL)
(423) 238-8923
Entity
Organization
Contact information
Practice address
6601 SUGARLOAF PKWY STE 230, DULUTH, GA 30097-4936
(770) 814-3900
(770) 814-3009
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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