Organization
PHYSICAL THERAPY FORUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMITA GUPTA (OWNER/PHYSICAL THERAPIST)
(678) 431-1301
Entity
Organization
Contact information
Practice address
5755 N POINT PKWY STE 56, ALPHARETTA, GA 30022-1145
(678) 431-1301
Mailing address
5755 N POINT PKWY STE 56, ALPHARETTA, GA 30022-1145
(678) 431-1301
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MT002098
GA
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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