| 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 |