| NPI | 1053819854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OCHAL CEO 770-953-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |