| NPI | 1215123955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAE J KIM CEO/Owner 678-206-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008581) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2010-08-17 |