| NPI | 1043571607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI LEANN COPSES Owner 678-458-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004807) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |