| NPI | 1104477199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN RAY SUBLETT Owner, Physical Therapist 404-985-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |