| NPI | 1174956924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY JENNINGS Owner 678-386-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009158) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT004893) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006507) | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |