Organization
GEORGIA PHYSICAL THERAPY & SPORTS MEDICINE CENTER
Active
Other names
Georgia Physical Therapy & Sports Medicine Center - Woodstock
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD LUTH MPT (OWNER)
(770) 888-3011
Entity
Organization
Contact information
Practice address
970 WOODSTOCK PKWY STE 300, WOODSTOCK, GA 30188-4869
(770) 888-3011
Mailing address
320 JESSICA WAY, CANTON, GA 30114-5852
(678) 383-6014
(770) 234-6788
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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