NPI | 1174501100 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM E. CHASTAIN Founder And CEO 770-974-7494 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 3909) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2008-02-07 |