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Organization

SPORTS PERFORMANCE & REHABILITATION INSTITUTE LLC

Active
Other names
Georgia Physical Therapy & Sports Medicine Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD LUTH MPT (OWNER)
(678) 880-9472
Entity
Organization

Contact information

Practice address
2000 VILLAGE PROFESSIONAL DR, SUITE 300, CANTON, GA 30114-8498
(678) 880-9472
(678) 880-9624
Mailing address
2000 VILLAGE PROFESSIONAL DR, SUITE 300, CANTON, GA 30114-8498
(678) 880-9472
(678) 880-9624

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT006448
GA

Other

Enumeration date
02/04/2013
Last updated
02/04/2013
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