NPI age
18 years
Enumerated 2007-09-12
Across 7225 active physical therapist providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP7336 | MEDICARE GROUP # |
Solo or small practice. No other active providers share this practice address in NPPES.
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