| NPI | 1255990123 |
|---|---|
| Doing Business As | CLUB PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | RHETT ANTHONY ROBERSON Owner/President 706-255-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |