Organization
MARIGOLD PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA EVANCHO DPT (CEO)
(205) 447-6846
Entity
Organization
Contact information
Practice address
141 LINDBERGH DR NE UNIT A, ATLANTA, GA 30305-3765
(205) 447-6846
Mailing address
141 LINDBERGH DR NE UNIT A, ATLANTA, GA 30305-3765
(205) 447-6846
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/02/2021
Last updated
05/04/2021
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