| NPI | 1336176213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE SOMERVILLE REPASKY Owner 770-493-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT002211) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-08-22 |