Organization
PROACTIVE PHYSICAL THERAPY, LLC
Active
Other names
PROAACTIVE PHYSICAL THERAPY - ATLANTA SPORTS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAVEEN PUTLUR PT (OWNER/PHYSICAL THERAPIST)
(312) 502-0206
Entity
Organization
Contact information
Practice address
100 PROSPECT PL, ALPHARETTA, GA 30005-5445
(312) 502-0206
Mailing address
100 PROSPECT PL, ALPHARETTA, GA 30005-5445
(312) 502-0206
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/31/2025
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