| NPI | 1326403361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURRI WALLACE Area Vice President 678-459-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT012173) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |