| NPI | 1124167184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA G GRUENSFELDER President 404-266-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006734) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |