| NPI | 1063941490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE JONES Owner 404-784-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT009996) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2021-11-03 |