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Organization

ONE ON ONE PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BLAIR GREEN PT (OWNER / VP)
(770) 500-3848
Entity
Organization

Contact information

Practice address
3300 NORTHEAST EXPY NE, BLDG 8, SUITE #C, ATLANTA, GA 30341-3932
(770) 500-3848
Mailing address
3300 NORTHEAST EXPY NE, BLDG 8, SUITE #C, ATLANTA, GA 30341-3932
(770) 500-3848

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
00174908
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202G701013
PTAN
GA
Enumeration date
01/12/2016
Last updated
01/12/2016
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