| NPI | 1033514609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE PRIMM PT A 678-485-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PTA003352) |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2014-10-25 |