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Organization

OUR THERAPY PLACE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REBECCA JEAN FITZPATRICK PT, DPT (OWNER)
(912) 319-0399
Entity
Organization

Contact information

Practice address
402 STEPHANIE AVE, RINCON, GA 31236-9692
(757) 685-9156
(912) 785-2788
Mailing address
402 STEPHANIE AVE, RINCON, GA 31236-9692
(757) 685-9156
(912) 785-2788

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT12329
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003186330A
GA
Enumeration date
05/10/2018
Last updated
05/10/2018
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