| NPI | 1164690780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY M JEDDING President 678-583-6345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006775) |
| Enumeration Date | 2008-02-16 |
| Last Update Date | 2008-06-17 |