| NPI | 1104269786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON HOGUE Physical Therapist 678-614-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009658) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2023-03-28 |