| NPI | 1265951289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER LEE CARR Owner/Physical Therapist 770-712-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |