| NPI | 1306290408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAMAL SALMAN ELAWAD Physical Therapist 770-468-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PTO11332) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2020-03-04 |