| NPI | 1447134978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WOLVERTON Owner 404-309-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-10 |