Organization
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Active
Other names
BenchMark Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVEUE CYCLE)
(423) 238-8923
Entity
Organization
Contact information
Practice address
2850 HOLCOMB BRIDGE RD STE 140A, ALPHARETTA, GA 30022-1658
(678) 585-7921
(678) 585-7923
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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