| NPI | 1114106010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA DAVIS Account Manager 770-443-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT002574) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2015-11-20 |