| NPI | 1124449194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE B MCDANIEL Director 404-252-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT004011) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2023-03-15 |