NPI | 1104598648 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK S POWERS Owner, Physical Therapist 912-656-5936 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2021-10-04 |
Last Update Date | 2022-04-21 |