| NPI | 1194870477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E D SOHA Owner 678-591-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT006588) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |