Organization
MYOFASCIAL PHYSIOCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL HELDMAN DPT, FAAOMPT (MANAGER/MEMEBER)
(404) 377-0011
Entity
Organization
Contact information
Practice address
2545 LAWRENCEVILLE HWY, SUITE 100, DECATUR, GA 30033-3239
(404) 377-0011
Mailing address
2545 LAWRENCEVILLE HWY, SUITE 100, DECATUR, GA 30033-3239
(404) 377-0011
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
008128
GA
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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