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Organization

CIMARRON PHYSICAL THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEPHEN NICHOLAS ARROYO PT, ATC (CHIEF FINANCIAL OFFIER)
(678) 584-1622
Entity
Organization

Contact information

Practice address
10160 MEDLOCK BRIDGE RD, STE B, JOHNS CREEK, GA 30097-4419
(678) 584-1622
(678) 584-1673
Mailing address
PO BOX 923387, NORCROSS, GA 30010-3387
(678) 584-1622
(678) 584-1673

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0554607
AETNA HMO
GA
01
5077047
AETNA PPO POS
GA
01
921449
BCBS STEPHEN A DULUTH
GA
Enumeration date
12/14/2006
Last updated
04/12/2011
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