NPI age
19 years
Enumerated 2007-03-27
Across 7225 active physical therapist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 227080 | |
| 01 | 059333014 | BLUE CROSS |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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