Organization
IRWIN THERAPEUTICS
Active
Other names
PRO PERFORMANCE THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LANCASTER (BUSINESS MANAGER)
(770) 663-6595
Entity
Organization
Contact information
Practice address
1335 RIDGELAND PKWY, SUITE 170, ALPHARETTA, GA 30004-0728
(770) 663-6595
Mailing address
1335 RIDGELAND PKWY, SUITE 170, ALPHARETTA, GA 30004-0728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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