| NPI | 1346073616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA A GAILEY Owner/Physical Therapist 678-617-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |