Organization
PHYSICAL THERAPY FORUM
Active
Other names
PT Forum
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMITA GUPTA PT (PRESIDENT)
(678) 431-1301
Entity
Organization
Contact information
Practice address
5755 NORTHPOINT PKWY, SUITE 56, ALPHARETTA, GA 30022-1142
(678) 431-1301
Mailing address
5755 NORTHPOINT PKWY, SUITE 56, ALPHARETTA, GA 30022-1142
(678) 431-1301
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT005421
GA
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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