Organization
HARRISON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SHEPHERD (COORDINATOR)
(314) 315-5148
Entity
Organization
Contact information
Practice address
3455 JOHNSON FERRY RD NE, ROSWELL, GA 30075-5206
(678) 472-6707
(678) 623-9781
Mailing address
3455 JOHNSON FERRY RD NE, ROSWELL, GA 30075-5206
(678) 472-6707
(678) 623-9781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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