| NPI | 1467586032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MARVEL Physical Therapist 770-382-7248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: GA PT002558) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |