| NPI | 1417196221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSIE JEFFREY BEAMS Physical Therapist 404-944-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 1801975628) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2021-01-21 |