| NPI | 1144297227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA G BUTTRAM Owner 770-979-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 1190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 9779) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2010-03-11 |