| NPI | 1235406026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY B LASSITER Manager 404-483-7168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: GA 5580) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |