NPI age
13 years
Enumerated 2012-11-07
Across 7225 active physical therapist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 9914 | PHYSICAL THERAPY |
| 01 (GA) | PT010850 | PHYSICAL THERAPY LICENSE |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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