| NPI | 1053338715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HALMAN BENNETT Administrator/Owner 229-219-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007616) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-05-21 |