| NPI | 1083643449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUEENSTON U THORPE Chief Executive Officer 770-465-5084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT004347) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |