| NPI | 1295909596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORIAH MORGAN Regional Office Manager 770-321-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 003709) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2011-09-29 |