| NPI | 1306019674 |
|---|---|
| Other Name | WELLPOINT PHYSICAL THERAPY & ACUPUNCTURE |
| Entity Type | Organization |
| Authorized Contact | MARY COOK President/Owner 404-444-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 7706) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 117) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2012-01-12 |