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NPI Code Detail

MEDICARE: DRAYER PHYSICAL THERAPY GEORGIA LLC

MEDICARE: DRAYER PHYSICAL THERAPY GEORGIA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1386072106
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRAYER PHYSICAL THERAPY GEORGIA LLC
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-8923
Fax Number : 423-954-7399
Provider Business Practice Location Address
First Line : 611 HIGHWAY 74 S
Second Line : SUITE 720
City : PEACHTREE CITY
State : GA
Zip : 30269-3081
Country : US
Telephone Number : 770-632-6800
Fax Number : 770-632-6060
Authorized Official
Title or Position : CFO
Name : BRYAN BARGANIER
Credential :
Telephone Number : 205-536-7602
Provider Enumeration Date : 10/15/2013
Last Update Date : 04/12/2020

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Directions to “DRAYER PHYSICAL THERAPY GEORGIA LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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