NPI | 1225335185 |
---|---|
Entity Type | Organization |
Authorized Contact | KARLTON LAMAR LAWRENCE Physical Therapist 678-467-7368 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007278) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005137) |
Enumeration Date | 2011-02-11 |
Last Update Date | 2011-02-11 |