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Organization

RECOVER PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAQUITA CHARRISE GATEWOOD (PRACTICE ADMINISTRATOR)
(678) 314-3138
Entity
Organization

Contact information

Practice address
1787 BRISTOL FARMS CT, GRAYSON, GA 30017-2927
(678) 314-3138
Mailing address
1787 BRISTOL FARMS CT, GRAYSON, GA 30017-2927
(678) 314-3138

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
02/18/2022
Last updated
02/18/2022
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