Organization
IDEAL THERAPY, LLC
Active
Organization
IDEAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORLETTE ALEXIS LUKE-CAMBRIDGE PT (OWNER)
(404) 994-7727
Entity
Organization
Contact information
Practice address
290 HIGHWAY 314, SUITE B, FAYETTEVILLE, GA 30214-7813
(404) 994-7727
(404) 994-7728
Mailing address
290 HIGHWAY 314, FAYETTEVILLE, GA 30214-7813
(404) 994-7727
(404) 994-7728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008318
GA
Other
Enumeration date
01/13/2009
Last updated
02/23/2015
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