| NPI | 1174518682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM D SORRELLS Credentialing Coordinator 706-236-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| 225200000X Physical Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 2251E1300X Physical Therapist, Electrophysiology, Clinical | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2011-09-26 |