Provenance Rehabilitation

LBN: Provenance Rehabilitation
Provenance Rehabilitation is an health care organization with primary practice located at 11975 Morris Rd Suite 310, Alpharetta GA 30005-4419. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Provenance Rehabilitation can be contacted via phone (678) 819-8720, or through Hunt, Jennifer Busbee via phone (678) 570-9500.

Contact Information

Primary practice address
11975 Morris Rd Suite 310 Alpharetta GA 30005-4419
Phone: (678) 819-8720
Fax: (678) 819-8721
Website:
Map and Directions
Authorized official contact:
Name: Hunt, Jennifer Busbee Physical Therapist (PT)
Phone: (678) 570-9500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 20111729283 Georgia

Profile Details

NPI number 1619281961
LBN Legal business name Provenance Rehabilitation
DBA Doing business as
Authorized official Hunt, Jennifer Busbee Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2010
Last updated Jun 2nd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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