| NPI | 1104834902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MCDONALD Regional Manager 404-236-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006199) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-06-09 |