Organization
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BARGANIER (CFO)
(205) 536-7602
Entity
Organization
Contact information
Practice address
6586 GA HIGHWAY 40 E STE B3, SAINT MARYS, GA 31558-4041
(912) 809-3015
(912) 525-2692
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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