NPI | 1023023868 |
---|---|
Entity Type | Organization |
Authorized Contact | JIMMY BIGA Owner 770-973-2207 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 1678) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT003837) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2007-10-08 |