NPI age
19 years
Enumerated 2006-12-26
Across 7225 active physical therapist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 10058027 | |
| 05 (GA) | 000608979C | |
| 05 (GA) | 339863 | |
| 01 (GA) | 52262717 | BCBS |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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