Organization
FAITH PLUS WORK PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DENISE SYLVESTER DPT (ORGANIZER)
(770) 354-1013
Entity
Organization
Contact information
Practice address
656 IVY BROOK WAY, MACON, GA 31210-5520
(770) 354-1013
Mailing address
656 IVY BROOK WAY, MACON, GA 31210-5520
(770) 354-1013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009941
GA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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