Organization
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Active
Other names
BenchMark PT - Chamblee
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-7217
Entity
Organization
Contact information
Practice address
3489 CHAMBLEE TUCKER RD, STE E, ATLANTA, GA 30341-4427
(770) 936-8025
(770) 936-9890
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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