BRUBAKER PHYSICAL THERAPY, LLC
Physical Therapy at Lodge Trl, Fayetteville, GA

License number
Georgia PT007154
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: DR. PATRICIA PERRY BRUBAKER DPT
Title: OWNER
Phone: (678) 763-0445
Address
Address
245 Lodge Trl, Fayetteville, GA 30215
National Provider ID: 1518262682
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRUBAKER PHYSICAL THERAPY, LLC

245 Ldg Trl, Fayetteville, GA 30215

Industry:
Health Practitioner's Office
Doing business as:
Brubaker Physical Therapy
Registration:
Jun 23, 2010
State ID:
10046047
Business type:
Domestic Limited Liability Company
Owner, Principal:
Patricia P. Brubaker (Owner, Principal)
Agent:
Perry Brubaker,245 Ldg Trl, Fayetteville, GA (Physical)

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