| NPI | 1386750883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY C. BAKER Clinic Owner/Manager 706-253-6287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT005450) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |