NPI age
9 years
Enumerated 2016-06-05
Across 7225 active physical therapist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | PT012677 | STATE LIC |
| 01 (SC) | 8161 | STATE LICENSE |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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