| NPI | 1053090985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADISLAV ISKHAKOV Owner / Physical Therapist 770-309-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2024-02-01 |