CUSTOMIZED PHYSICAL THERAPY SERVICES INC
Physical Therapy at Victoria St, Douglasville, GA

License number
Georgia PT008600
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: JUDE REGGIE VELEZ PT
Title: CEO
Phone: (770) 485-2109
Address
Address
1398 Victoria St, Douglasville, GA 30134
National Provider ID: 1437481637
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CUSTOMIZED PHYSICAL THERAPY SERVICES, INC

1398 Victoria St, Douglasville, GA 30134

Status:
Inactive
Industry:
Services-Misc
Registration:
Mar 28, 2009
Inactive since:
Aug 24, 2012
State ID:
09022596
Business type:
Domestic Profit Corporation
Chief Executive Officer, Principals:
Reggie Jude (CFO), 1398 Victoria St, Douglasville, GA 30134 (Physical),Jude Reggie Santos Velez (Chief Executive Officer, Principal)
Agent:
Jude Reggie S Velez,1398 Victoria St, Douglasville, GA 30134 (Physical)

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