| 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 |