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 |