Organization
LANIER THERAPY SOUTH, INC.
Active
Other names
Lanier Therapy South, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY J ARKFELD PHYSICAL THERAPIST (PT/OWNER)
(770) 271-3458
Entity
Organization
Contact information
Practice address
5887 SPOUT SPRINGS RD STE D403, FLOWERY BRANCH, GA 30542-3418
(770) 967-9301
(770) 967-9526
Mailing address
5887 SPOUT SPRINGS RD STE D403, FLOWERY BRANCH, GA 30542-3418
(770) 967-9301
(770) 967-9526
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT007476
GA
2251X0800X
Orthopedic Physical Therapist
PT011019
GA
261QP2000X
Physical Therapy Clinic/Center
PT007476
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT007476
PHYSICAL THERAPY LICENSE
GA
01
—
PT011019
PHYSICAL THERAPY LICENSE
GA
Enumeration date
05/30/2017
Last updated
07/21/2022
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