| NPI | 1144530155 |
|---|---|
| Doing Business As | JEANNIE-IN-A-BOTTLE |
| Entity Type | Organization |
| Authorized Contact | JEANNIE M BLOM CEO 404-849-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 041517) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2012-12-06 |