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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 CYCLE)
(423) 238-8923
Entity
Organization

Contact information

Practice address
1106 FOUNTAIN PARK CIR, BRUNSWICK, GA 31520-4806
(912) 262-2151
(912) 262-2754
Mailing address
8823 PRODUCTION LANE, OOLTEWAH, TN 37363
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
08/19/2015
Last updated
08/19/2015
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