| NPI | 1376159020 |
|---|---|
| Former Legal Business Name | PEP PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LENA EBRON Physical Therapist 678-910-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |