| NPI | 1376546341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORIAH MORGAN Regional Office Manager 770-321-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 003709) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2014-09-16 |