NPI | 1316476609 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERELY NICOLE HOLLOWAY Physical Therapist, Owner/CEO 770-875-4985 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1261798) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-07-21 |