RESTORE PHYSICAL THERAPY AND WELLNESS LLC
Physical Therapy at Bellflower Ct, Roswell, GA

License number
Georgia PT007124
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: SHANNON WARD HENNE PT
Title: PRESIDENT
Phone: (678) 491-4729
Address
Address
415 Bellflower Ct, Roswell, GA 30076
National Provider ID: 1073816112
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RESTORE PHYSICAL THERAPY AND WELLNESS LLC

2300 Holcomb Brg Rd SUITE 304, Roswell, GA 30076

Registration:
Nov 30, 2010
State ID:
10082650
Business type:
Domestic Limited Liability Company
Agent:
Wanda Ward,771 Welcome Hl Trl SW, Rome, GA (Physical)

Restore Physical Therapy and Wellness LLC

415 Bellflower Ct, Roswell, GA 30076

Industry:
Health Practitioner's Office
President, Principal:
Shannon W. Henne (President, Principal)

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