| NPI | 1326305384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN NICHOLAS PRATHER Owner 706-886-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008337) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2021-03-17 |