DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVENANCE REHABILITATION

Active Organization

PROVENANCE REHABILITATION is a Physical Therapy Clinic organization located in ALPHARETTA, Georgia. NPI 1619281961 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · ALPHARETTA, GA

Registration Details

NPI Number
1619281961
Provider Type
Organization
NPI Issued
Jul 28, 2010 (16.047475557174 yrs)
Last Updated
Jun 2, 2014
License
20111729283 (GA)

Practice Information

Address
11975 MORRIS RD
SUITE 310
ALPHARETTA, GA, 300054419
Browse GA providers · Browse ZIP 30005
Phone
6788198720
Fax
6788198721
Primary Specialty
Physical Therapy Clinic
261QP2000X

Other Physical Therapy Clinic Organizations in ALPHARETTA, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.