Organization
CANTON INSTITUTE FOR PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH ROSSI PHYSICAL THERAPIST (OWNER)
(770) 345-3057
Entity
Organization
Contact information
Practice address
147 REINHARDT COLLEGE PARKWAY, SUITE 9, CANTON, GA 30114-0520
(770) 345-3057
Mailing address
147 REINHARDT COLLEGE PARKWAY, SUITE 9, CANTON, GA 30114-0520
(770) 345-3057
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT001493
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
908731
BLUE CROSS BLUE SHIELD
GA
Enumeration date
05/23/2006
Last updated
08/17/2017
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