| NPI | 1457130759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J DEMBOWSKI Authorized Official 404-872-8837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |