Organization
FIXTPT LAWRENCEVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVEL GOROKHOV PT (CLINIC DIRECTOR/PT)
(404) 779-7050
Entity
Organization
Contact information
Practice address
455 PHILIP BLVD STE 135, LAWRENCEVILLE, GA 30046-8767
(404) 799-7050
Mailing address
455 PHILIP BLVD STE 100, LAWRENCEVILLE, GA 30046-8767
(404) 799-7050
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
12/18/2023
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