Organization
BODY PROS PHYSICAL THERAPY
Active
Other names
Axiom Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A. RESNICK J.D. (DIRECTOR OF OPERATIONS)
(770) 321-4720
Entity
Organization
Contact information
Practice address
1809 CANTON RD, SUITE 600, MARIETTA, GA 30066-6343
(678) 213-1560
(678) 213-1705
Mailing address
1809 CANTON RD, SUITE 600, MARIETTA, GA 30066-6343
(678) 213-1560
(678) 213-1705
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
108515
GA
261QX0100X
Occupational Medicine Clinic/Center
108515
GA
Other
Enumeration date
01/04/2007
Last updated
01/20/2008
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