Organization
INTEGRAL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA SHAW PT, DPT (OWNER, PHYSICAL THERAPIST)
(404) 210-2093
Entity
Organization
Contact information
Practice address
1515 JOHNSON FERRY RD, MARIETTA, GA 30062-6492
(470) 210-7222
Mailing address
3302 LANTERN COACH LN NE, ROSWELL, GA 30075-3195
(404) 210-2093
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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