| NPI | 1073709846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK M STEWART PT, Owner 770-475-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008515) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT002847) |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2023-06-01 |