Organization
SHEPPARD'S PROGRESSIVE REHABILITATION
Active
Other names
Children's Advanced Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA SHEPPARD PHYSICAL THERAPIST (CEO OWNER)
(678) 422-6271
Entity
Organization
Contact information
Practice address
6505 RIADA CT, MCDONOUGH, GA 30253-8535
(678) 422-6271
(678) 422-6696
Mailing address
PO BOX 1666, JONESBORO, GA 30237-1666
(678) 422-6271
(678) 422-6696
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
002406
GA
Other
Enumeration date
12/31/2006
Last updated
08/22/2020
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