Provider Demographics
NPI:1568790574
Name:GEORGIA PRO MOTION PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:GEORGIA PRO MOTION PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:175 PINE GROVE RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-8483
Mailing Address - Country:US
Mailing Address - Phone:678-721-9321
Mailing Address - Fax:678-721-9323
Practice Address - Street 1:175 PINE GROVE RD
Practice Address - Street 2:SUITE 215
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-8483
Practice Address - Country:US
Practice Address - Phone:678-721-9321
Practice Address - Fax:678-721-9323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty