Organization
TOTEM PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F JACKSON JR. DPT (OWNER)
(478) 235-4441
Entity
Organization
Contact information
Practice address
1806 RUSSELL PKWY STE 1400, WARNER ROBINS, GA 31088-5781
(478) 235-4441
Mailing address
121 PARTRIDGE TRL, WARNER ROBINS, GA 31088-6592
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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