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Organization

RE GENERATE PHYSIOTHERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER MCGOWAN PT, DPT, OCS (BUSINESS OWNER/PHYSICAL THERAPIST)
(678) 506-0196
Entity
Organization

Contact information

Practice address
1240 GA-54, BUILDING 700, FAYETTEVILLE, GA 30214
(678) 506-0196
(706) 611-0436
Mailing address
250 ESSEX CIRCLE, FAYETTEVILLE, GA 30215
(678) 506-0196
(706) 661-0436

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT011852
GA

Other

Enumeration date
05/31/2018
Last updated
05/31/2018
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