Organization
3333 PT PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRONSON WALTERS (ADMINISTRATOR)
(770) 401-6452
Entity
Organization
Contact information
Practice address
3333 OLD MILTON PKWY STE 180, ALPHARETTA, GA 30005-0008
(770) 401-6452
Mailing address
3333 OLD MILTON PKWY STE 180, ALPHARETTA, GA 30005-0008
(770) 401-6452
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
11/10/2020
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