Organization
CORE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH BROWN P.T. (PRESIDENT)
(478) 953-5800
Entity
Organization
Contact information
Practice address
301 MARGIE DR, WARNER ROBINS, GA 31088-7818
(478) 953-5800
(478) 953-5855
Mailing address
301 MARGIE DR, WARNER ROBINS, GA 31088-7818
(478) 953-5800
(478) 953-5855
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
005265
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619044906
KEITH BROWN NPI
—
01
—
1639353261
DANNIELLE PUCKETT NPI
—
01
—
1699777367
ANGEL BROWN NPI
—
01
—
GRP7944
MEDICARE GROUP
—
Enumeration date
12/07/2006
Last updated
02/11/2008
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