| NPI | 1275678336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J. ROCHE Administrator 478-552-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 1635) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2015-10-15 |