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ROSS CAMPBELL
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1457481913
Individual Registrant: ROSS CAMPBELL
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
200 PERRY HOUSE RD FITZGERALD, GA 31750-8857 US
Tel: 229-424-7100 Fax: --
Tel: 229-424-7100 Fax: --
Contact information for business:
1186 W ROANOKE DRIVE FITZGERALD, GA 31750 US
Tel: 229-423-9758 Fax: --
Tel: 229-423-9758 Fax: --
Registration Information:
NPI: 1457481913
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | GA | PT008634 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
