Organization
MOBILITY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE GREER (PT/OWNER)
(770) 361-4124
Entity
Organization
Contact information
Practice address
534 OWL CREEK DR, POWDER SPRINGS, GA 30127-6285
(770) 361-4124
(678) 290-5587
Mailing address
534 OWL CREEK DR, POWDER SPRINGS, GA 30127-6285
(770) 361-4124
(678) 290-5587
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2009
Last updated
05/21/2018
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