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1902102452
PROACTIVE PHYSICAL THERAPY AND REHABILITATION LLC
AUGUSTA, GA
NPI
1902102452
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Entity Type
Organization
Authorized Contact
DIANE R WILSON
PT
706-814-6887
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2011-02-01
Last Update Date
2011-07-18
Business Address
PROACTIVE PHYSICAL THERAPY AND REHABILITATION LLC
2103 REEDALE AVE
AUGUSTA, GA 30906-3430
Phone number: 706-814-6887
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Mailing Address
PROACTIVE PHYSICAL THERAPY AND REHABILITATION LLC
2103 REEDALE AVE
AUGUSTA, GA 30906-3430
Phone number: 706-814-6887
Copy
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