Organization
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Active
Other names
BenchMark PT - Savannah Southside
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNNESON (VP REVENUE CYCLE)
(423) 238-7217
Entity
Organization
Contact information
Practice address
7805 ABERCORN ST, STE 21, SAVANNAH, GA 31406-2402
(912) 356-3559
(912) 691-4902
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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