| NPI | 1366529331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER BEARDEN Pediatric Physical Therapist 770-363-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: GA PT003343) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |