| NPI | 1467022863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HUIZENGA Manager 678-592-3447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-07-06 |