Organization
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Active
Organization
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Active
Other names
BENCHMARK PT - BROOKHAVEN
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-8923
Entity
Organization
Contact information
Practice address
705 TOWN BLVD NE STE 550, BROOKHAVEN, GA 30319-7216
(404) 869-1912
(404) 869-6515
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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