| NPI | 1184105405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY FARTHING Owner 678-685-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 00076578) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2023-06-11 |