| NPI | 1447674924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE PICKARD Director 678-580-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 273Y00000X Rehabilitation Unit |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2021-04-02 |