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Organization

PEACHTREE WOMEN'S PHYSICAL THERAPY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERTA BURNEY (PRESIDENT)
(770) 461-5270
Entity
Organization

Contact information

Practice address
110 BASTILLE WAY, SUITE 100A, FAYETTEVILLE, GA 30214-7620
(770) 461-5270
Mailing address
105 ENGLEWOOD DR, FAYETTEVILLE, GA 30214-3348
(770) 461-5270

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1439
GA

Other

Enumeration date
11/21/2008
Last updated
11/21/2008
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