| NPI | 1205027240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN EDWARD MATEY Physical Therapist 404-767-5842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 006449) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2013-03-08 |