Organization
RENASCENCE VITALITY-N-MOVEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL DAMETREA WILLIAMS PT, DPT, OCS (OWNER/PHYSICAL THERAPIST)
(678) 517-2064
Entity
Organization
Contact information
Practice address
2059 SCENIC HWY N STE 130B, SNELLVILLE, GA 30078-6142
(678) 517-2064
(678) 609-1421
Mailing address
2059 SCENIC HWY N STE 130B, SNELLVILLE, GA 30078-6142
(678) 517-2064
(678) 609-1421
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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