| NPI | 1396381505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE ANDERSON Physical Therapist/Sole Member 770-605-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-24 |