Organization
TEAM 3 PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNAH MICHELLE ST. LOUIS DPT (PHYSICAL THERAPY)
(413) 214-4963
Entity
Organization
Contact information
Practice address
1227 GREEN ST SE, CONYERS, GA 30012-5409
(678) 313-5943
Mailing address
2101 SABLESHIRE WAY SE, CONYERS, GA 30013-6475
(413) 214-4963
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT011238
GA
261QP2000X
Physical Therapy Clinic/Center
PT011238
GA
Other
Enumeration date
04/25/2018
Last updated
11/08/2018
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