Organization
MATRIX REHABILITATION - GEORGIA, INC.
Active
Other names
Progressive Sports Medicine-Loganville
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J. FITZPATRICK (CHEIF FINANCIAL OFFICER)
(610) 644-7824
Entity
Organization
Contact information
Practice address
4325 ATLANTA HWY, SUITE 15, LOGANVILLE, GA 30052-3264
(770) 466-3100
(770) 466-3105
Mailing address
665 PHILADELPHIA ST, INDIANA, PA 15701-3941
(724) 465-3496
(724) 465-3726
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
02/04/2008
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