| NPI | 1235771262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY BRENT LITTLE President 678-480-5654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |