| NPI | 1164561288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA V CARSOM CEO 404-261-0328 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: GA 083575LGB) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-08-02 |