| NPI | 1124142013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALOYSIUS K KWAKUMEY Manager Clinical Director 770-755-5278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT005865) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |