Organization
CORVIC GROUP
Active
Other names
Physio Lab
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON VICTOR WATSON (BUSINESS MANAGER/DIRECTOR)
(478) 919-6835
Entity
Organization
Contact information
Practice address
107 PEACOCK DR, WARNER ROBINS, GA 31088-3637
(478) 919-6835
Mailing address
102 WOODEN EAGLE TRL, KATHLEEN, GA 31047-4137
(478) 919-6835
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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