NPI age
19 years
Enumerated 2006-10-04
Across 7225 active physical therapist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WI) | 392039073012 | BLUE CROSS/BLUE SHIELD ID |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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