| NPI | 1093426264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ANGLIN Owner 678-754-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2024-01-31 |