Organization
BOUNCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW GEORGE BUTLER DPT (OWNER)
(770) 891-2098
Entity
Organization
Contact information
Practice address
165 VANN STREET NE, MARIETTA, GA 30060-7249
(770) 891-2098
(770) 984-0303
Mailing address
2125 BARRETT PARK DRIVE, STE 112-B, KENNESAW, GA 30144
(770) 891-2098
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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