| NPI | 1326120932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COOK Owner 770-207-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 5588) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 7510) |
| 225X00000X Occupational Therapist (Licence: GA 4397) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-04-25 |