Graduated: 1972
NPI: 1992072896
Practice Locations (2)
INDEPENDENT PHYSICAL THERAPY OF GEORGIA LLC
1025 E W CONNECTOR, SUITE 406
AUSTELL, GA 301068531
7703841001
INDEPENDENT PHYSICAL THERAPY OF GEORGIA LLC
6586 GA HWY 40 E, SUITE B3
SAINT MARYS, GA 315584041
9128093015
Source: CMS National Downloadable File, September 2026.