| NPI | 1053696732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HALL CFO 770-615-4856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2017-04-10 |