| NPI | 1417178633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE RIDGEWAY Physical Therapist Clinic Director 404-385-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 6601) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |