| Independent Physical Therapy Of Ga, Llc | |
|
8200 Mall Pkwy Ste 135, Lithonia, GA 30038-6984 | |
| (470) 974-2792 | |
| Not Available |
| Full Name | Independent Physical Therapy Of Ga, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 8200 Mall Pkwy Ste 135, Lithonia, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851259758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Physical Therapy Of Ga, Llc 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Independent Physical Therapy Of Ga, Llc 8200 Mall Pkwy Ste 135, Lithonia, GA 30038-6984 Ph: (470) 974-2792 |
Stephanie Marie Ravalese, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Jordan Alliah Davis, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Michelle Alade, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Ami Kirollos, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Shelby Kay Vandeberghe, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Corrine Celeste Bolles, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6000 Hillandale Dr Ste 145, Lithonia, GA 30058 Phone: 678-418-8072 Fax: 678-418-8072 | |
Alfred Alexis Balleza Miranda, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 |