Provider Demographics
NPI:1336784313
Name:SYMPTOM RECOVERY MODELS LLC
Entity Type:Organization
Organization Name:SYMPTOM RECOVERY MODELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:LEGER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:770-354-6528
Mailing Address - Street 1:1140 TIMBERLINE PL
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3713
Mailing Address - Country:US
Mailing Address - Phone:770-354-6528
Mailing Address - Fax:470-539-4561
Practice Address - Street 1:100 PROSPECT PL
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-5445
Practice Address - Country:US
Practice Address - Phone:470-539-4485
Practice Address - Fax:470-539-4561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy