| NPI | 1104949403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELIZABETH NESSMITH President 404-247-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: GA 008078) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: GA 007503) |
| 2251P0200X Physical Therapist Pediatrics (Licence: GA 007997) | |
| 2251P0200X Physical Therapist Pediatrics (Licence: GA 006046) | |
| 2251P0200X Physical Therapist Pediatrics (Licence: GA 006139) | |
| 225XP0200X Occupational Therapist Pediatrics (Licence: GA 004491) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |