| NPI | 1437790979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESHANTA WILBURN CEO 770-425-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 224Z00000X Occupational Therapy Assistant | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |