NPI age
20 years
Enumerated 2005-06-13
Across 7225 active physical therapist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 3659205 | |
| 05 (GA) | 380348284A | |
| 01 (TN) | 4092611 | BCBS |
| 01 (GA) | 10035561 | AMERIGROUP |
Solo or small practice. No other active providers share this practice address in NPPES.
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