Organization
PHYSICAL THERAPY FORUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMITA GUPTA PT (PRESIDENT)
(678) 431-1301
Entity
Organization
Contact information
Practice address
5755 NORTHPOINT PKWY, SUITE 56, ALPHARETTA, GA 30022-1142
(678) 462-7456
Mailing address
5755 NORTHPOINT PARKWAY, SUITE 56, ALPHARETTA, GA 30022
(678) 462-7456
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
001518
GA
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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