Organization
FUNCTIONAL MOBILITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL PTA ASS (PTA)
(770) 853-9298
Entity
Organization
Contact information
Practice address
4186 DUESENBERG DR, TUCKER, GA 30084-7531
(770) 853-9298
Mailing address
4186 DUESENBERG DR, TUCKER, GA 30084-7531
(770) 853-9298
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
08/15/2022
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