Organization
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Active
Other names
BenchMark PT- Howell Mill
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANESSON (VP REVENUE CYCLE MANAGER)
(423) 238-8923
Entity
Organization
Contact information
Practice address
1715 HOWELL MILL RD NW, B2, ATLANTA, GA 30318-3167
(404) 351-5432
(404) 352-1917
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8923
(423) 954-7399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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