| NPI | 1437438801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M POWELL Owner 770-642-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT007668) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2012-06-13 |