| NPI | 1134385560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DIANE HIDALGO Physical Therapist/President 678-463-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT007123) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |