| NPI | 1447273453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARRAH B AZORDEGAN Administrative 770-518-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: GA 2006OCC-0448) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |