Organization
INNOVATION THERAPY AND WELLNESS, LLC
Active
Parent organization
INNOVATION THERAPY AND WELLNESS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVATION THERAPY AND WELLNESS, LLC
Authorized official
GLEN POSEY (OWNER)
(912) 403-3300
Entity
Organization
Contact information
Practice address
401 E 1ST ST STE B, VIDALIA, GA 30474-4624
(912) 403-3300
Mailing address
118 AZALEA RD STE 11, BAXLEY, GA 31513-9197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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