| NPI | 1275655540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COY LEVERETTE Owner Director 770-288-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008517) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |