Organization
BACK TO ACTION SPORTS REHAB, LLC.
Active
Organization
BACK TO ACTION SPORTS REHAB, LLC.
Active
Other names
Georgia Sports Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAMAR B. FRASIER DPT (OWNER)
(410) 688-3708
Entity
Organization
Contact information
Practice address
754 PEACHTREE ST NE, SUITE 105, ATLANTA, GA 30308-1206
(410) 688-3708
Mailing address
4936 GREEN POINTE WAY NE, MARIETTA, GA 30067-1506
(410) 688-3708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011203
GA
Other
Enumeration date
08/26/2013
Last updated
04/08/2014
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