| NPI | 1336532613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LANDON DIXON Owner 404-839-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 010554) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |