| NPI | 1285200477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE MICHAEL YAKE CEO 678-403-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-05-28 |