| NPI | 1093151078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN YOUNG Owner 706-225-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006681) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2021-03-10 |