Organization
ELITE SPORT & SPINE PHYSICAL THERAPY, INC.
Active
Other names
Sapp's Physical Therapy Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MELVIN SAPP PT (OWNER)
(478) 292-7865
Entity
Organization
Contact information
Practice address
2 MASHBURN ST STE 102, HAWKINSVILLE, GA 31036-4961
(478) 292-7865
(478) 783-4466
Mailing address
2 MASHBURN ST, HAWKINSVILLE, GA 31036-4961
(478) 292-7865
(478) 783-4466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000754619B
—
GA
Enumeration date
07/18/2006
Last updated
12/07/2018
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