Organization
EMORY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L COOPER (AUTH OFFICIAL/MANAGING EMPLOYEE)
(219) 365-6560
Entity
Organization
Contact information
Practice address
1801 VERNON RD, LAGRANGE, GA 30240-4041
(800) 341-1703
(877) 716-4609
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(800) 341-1703
(877) 719-4609
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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