| NPI | 1356818652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA DENISE ROLAND Owner Physical Therapist 678-699-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |