| NPI | 1073558086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN PHILPOT Revenue Cycle Director 678-403-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH1858) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2019-08-16 |