| NPI | 1194796789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY (ANDY) F ELLIS President 229-386-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT001108) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-08-22 |