| NPI | 1013352111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT NYE Business Manager 678-632-6765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2016-11-02 |