| Soma Physio & Rehab Center Llc | |
|
2800 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2531 | |
| (678) 926-3868 | |
| Not Available |
| Full Name | Soma Physio & Rehab Center Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2800 Lawrenceville Suwanee Rd, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346957966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jung H Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386367761 PECOS PAC ID: 6103299821 Enrollment ID: I20230303001057 |
| Mailing Address | Practice Location Address |
|---|---|
| Soma Physio & Rehab Center Llc 2800 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2531 Ph: (678) 926-3868 | Soma Physio & Rehab Center Llc 2800 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2531 Ph: (678) 926-3868 |
Mrs. Clarice M Ezeanya, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Satellite Blvd Ne Ste 111, Suwanee, GA 30024 Phone: 862-202-6596 | |
Maria E. Doolen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7350 Mcginnis Ferry Rd, Suite 200, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082 | |
Mallory Reichard, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1180 Satellite Blvd Nw Ste 100, Suwanee, GA 30024 Phone: 404-367-2080 Fax: 770-495-3493 | |
Rehab Of Suwanee Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Peachtree Industrial Blvd, Suite #290, Suwanee, GA 30024 Phone: 770-850-0857 | |
Avaniben Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4060 Johns Creek Pkwy Ste H, Suwanee, GA 30024 Phone: 770-622-5344 Fax: 770-622-5388 | |
David A Linbo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2576 Lawrenceville Suwanee Rd Bldg 1, Suwanee, GA 30024 Phone: 770-962-4043 | |
Benchmark Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3630 Peachtree Pkwy Ste 310, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082 |