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Organization

INDEPENDENT PHYSICAL THERAPY OF GA, LLC

Active
Other names
BenchMark PT - East Dahlonega
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-3220
Entity
Organization

Contact information

Practice address
130 LONG BRANCH RD, UNIT 103, DAHLONEGA, GA 30533-7132
(706) 864-0200
(706) 864-0072
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
05/05/2017
Last updated
05/05/2017
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