| NPI | 1225129638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMBI J WOMACK CEO 404-252-7513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 1093) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: GA 1093) |
| 2251N0400X Physical Therapist, Neurology (Licence: GA 1093) | |
| 2251S0007X Physical Therapist, Sports (Licence: GA 1093) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: GA 1093) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |