| NPI | 1215101043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAROLYN R METZGER Office Manager 770-640-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 003709) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |