Organization
GEORGIA PELVIC PT, LLC
Active
Organization
GEORGIA PELVIC PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA ELIZABETH BETZ MSPT (SOLE MEMBER/SOLE PROVIDER)
(706) 767-4419
Entity
Organization
Contact information
Practice address
108 ROBIN ST NW, ROME, GA 30165-1544
(706) 767-4419
Mailing address
108 ROBIN ST NW, ROME, GA 30165-1544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008282
GA
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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