| NPI | 1326396136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CATHERINE WALLACE Director, Provider 678-780-6941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: GA OT004063) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2015-04-27 |