Organization
MEDVENTURES PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA STEPHENS (AUTHORIZED OFFICIAL)
(706) 350-1338
Entity
Organization
Contact information
Practice address
1075 LAFAYETTE PARKWAY, STE 220, LAGRANGE, GA 30241
(706) 845-9370
(706) 845-9371
Mailing address
1075 LAFAYETTE PARKWAY, STE 220, LAGRANGE, GA 30241
(706) 350-1338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6464
GA
Other
Enumeration date
05/17/2016
Last updated
09/06/2017
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