Organization
INSPIRED MOBILITY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER KOPACH P.T. (OWNER/OPERATOR)
(917) 334-9108
Entity
Organization
Contact information
Practice address
4180 PROVIDENCE RD STE 107, MARIETTA, GA 30062-6187
(917) 334-9108
Mailing address
4557 WENDEN LN, MARIETTA, GA 30062-5696
(917) 334-9108
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT010961
GA
Other
Enumeration date
08/08/2018
Last updated
11/04/2024
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