Organization
ADVANCED PHYSICAL THERAPY EAST LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FARRAH B AZORDEGAN (ADMINISTRATOR)
(604) 754-9619
Entity
Organization
Contact information
Practice address
2469 HERITAGE VLG, SUITE 14, SNELLVILLE, GA 30078-6140
(604) 754-9619
(770) 979-0395
Mailing address
2469 HERITAGE VLG, SUITE 14, SNELLVILLE, GA 30078-6140
(604) 754-9619
(770) 979-0395
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2006OCC-0448
GA
Other
Enumeration date
05/25/2006
Last updated
05/10/2011
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