Organization
BRUBAKER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA PERRY BRUBAKER DPT (OWNER)
(678) 763-0445
Entity
Organization
Contact information
Practice address
245 LODGE TRL, FAYETTEVILLE, GA 30215-7626
(678) 763-0445
(770) 716-0358
Mailing address
245 LODGE TRL, FAYETTEVILLE, GA 30215-7626
(678) 763-0445
(770) 716-0358
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT007154
GA
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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