| NPI | 1073942603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELVA-ANNE WELLMAN Owner 678-670-1289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT004824) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |