| NPI | 1245547652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE J MINICOZZI Member Manager 404-531-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |