| NPI | 1104096312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GLASS Physical Therapist 912-656-8342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006834) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |