| NPI | 1437142064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY RAINEY PARKER Physical Therapist 912-242-3402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT004503) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-08-22 |