| NPI | 1407861826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H. WALLINGTON Owner 770-739-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007362) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-09-30 |