PROVENANCE REHABILITATION

ALPHARETTA, GA
NPI1619281961
Entity TypeOrganization
Authorized ContactJENNIFER BUSBEE HUNT
Owner
678-570-9500
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: GA  20111729283)
Enumeration Date2010-07-28
Last Update Date2014-06-02
Business Address
PROVENANCE REHABILITATION
11975 MORRIS RD SUITE 310
ALPHARETTA, GA 30005-4419
Phone number: 678-819-8720
Mailing Address
PROVENANCE REHABILITATION
310 AURELIA TRCE
MILTON, GA 30004-4358
Phone number: 678-570-9500