| NPI | 1124344114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY H WILLIAMS CEO 706-886-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT000558) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT000558) |
| 225X00000X Occupational Therapist (Licence: GA PT000558) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-21 |