Provider Demographics
NPI:1538786249
Name:J & J PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:J & J PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KYONGHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-591-8797
Mailing Address - Street 1:80 HORIZON DR STE 304B
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-7740
Mailing Address - Country:US
Mailing Address - Phone:770-591-8797
Mailing Address - Fax:770-209-3767
Practice Address - Street 1:80 HORIZON DR STE 304B
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-7740
Practice Address - Country:US
Practice Address - Phone:770-591-8797
Practice Address - Fax:770-209-3767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy