Organization
FOUNDATION PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW REGINALD MACLWOD DPT (OWENR)
(678) 446-8269
Entity
Organization
Contact information
Practice address
619 EDGEWOOD AVE SE STE T101, ATLANTA, GA 30312-1987
(404) 565-4064
(678) 550-9303
Mailing address
619 EDGEWOOD AVE SE STE T101, ATLANTA, GA 30312-1987
(404) 565-4064
(678) 550-9303
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
09/19/2023
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