Organization
ENTELECHY REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NSIKAK ALEX ESSIENUMOH (CLINIC DIRECTOR)
(404) 245-6807
Entity
Organization
Contact information
Practice address
4015 MOORE CREEK DR, CONLEY, GA 30288-1359
(404) 245-6807
Mailing address
3056 ANVIL BLOCK RD STE 118, ELLENWOOD, GA 30294-2864
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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