| NPI | 1447890264 |
|---|---|
| Doing Business As | GAME SUPPORT |
| Entity Type | Organization |
| Authorized Contact | MELINDA OSTROM Owner, PT 404-849-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-05-19 |