NPI age
17 years
Enumerated 2008-11-18
Across 7225 active physical therapist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 3400013 | |
| 01 (NC) | 00489 | BCBS |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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