| NPI | 1093888083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S MCCLUSKEY President 706-322-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |