Organization
REHAB ONE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT DELOACH (OWNER)
(229) 333-8001
Entity
Organization
Contact information
Practice address
420 NORTHSIDE DR, VALDOSTA, GA 31602-1802
(229) 333-8001
Mailing address
420 NORTHSIDE DR, VALDOSTA, GA 31602-1802
(229) 333-8001
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252532313
SS#
GA
Enumeration date
06/03/2022
Last updated
06/03/2022
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