Organization
IMMANUELS WORD INC
Active
Other names
Body Pros Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J CANECCHIO (OWNER)
(678) 624-9117
Entity
Organization
Contact information
Practice address
1750 FOUNDERS PKWY, SUITE 130, ALPHARETTA, GA 30004-7602
(678) 624-9117
(678) 624-0747
Mailing address
1750 FOUNDERS PARKWAY, SUITE 130, ALPHARETTA, GA 30004-7602
(678) 624-9117
(678) 624-0747
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
11/01/2007
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