Organization
PRIME PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE DAVIS (OPERATIONS MANAGER)
(251) 445-7267
Entity
Organization
Contact information
Practice address
190 ETOWAH INDUSTRIAL CT, CANTON, GA 30114-8016
(251) 633-7211
(251) 410-6079
Mailing address
PO BOX 7627, MOBILE, AL 36670-0627
(251) 633-7211
(251) 410-6079
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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